You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1840A-S | Mantenga sus Beneficios a Salvo | 06/01/2023 |
FAA-1055A-S | ¡HAGA CORRER LA VOZ! | 06/01/2023 |
FAA-1439A-S | Self-Employment Income Statement (Spanish) | 06/01/2023 |
FAA-1823A | Keep Your Nutrition and Cash Assistance Benefits Safe (English/Spanish) | 06/01/2023 |
FAA-1217A | Request for Verification of Godparent Specified Relative (English) | 06/01/2023 |
FAA-0155A | Recent Employment/Training Background | 06/01/2023 |
FAA-1440A | Cash Assistance Benefit Limit Extension Request (English) | 06/01/2023 |
FAA-0155B | Determination of Primary Wage Earner (PWE) | 06/01/2023 |
FAA-1440A-LP | Cash Assistance Benefit Limit Extension Request - Large Print (English) | 06/01/2023 |
FAA-0059A | Authority to Release Records | 06/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
CSE-1315B | Federal Form - General Testimony Instructions | 01/01/2021 |
LCR-1086A | Application for Child Developmental Home Certification | 01/01/2021 |
DDD-2036A | Member Funds Monthly Ledger (English) | 12/01/2020 |
CCA-0201A | Certification Statement for Providing Child Care Services (English) | 12/01/2020 |
DDD-2063A | Ongoing Quarterly Progress Report (QPR) Plan of Care/Treatment Plan | 12/01/2020 |
CCA-0201A-S | Certification Statement for Providing Child Care Services (Spanish) | 12/01/2020 |
CSE-0258A | Affidavit of Paternity Rescission (English/Spanish) | 12/01/2020 |
CCA-1277A | Sample Child Care Provider Expulsion Prevention Policy (English) | 11/01/2020 |
CCA-1277A-S | Sample Child Care Provider Expulsion Prevention Policy (Spanish) | 11/01/2020 |
LCR-1030A | Request to Withdraw HCBS Certification | 10/01/2020 |
Pursuant to Title VI of the Civil Rights Act of 1964, the Americans with Disabilities Act (ADA) and other nondiscrimination laws and authorities, ADES does not discriminate on the basis of race, color, national origin, sex, age, or disability. Persons that require a reasonable modification based on language or disability should submit a request as early as possible to ensure the State has an opportunity to address the modification. The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification