You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
|
RSA-1322A | Pre-Employment Transition Services | 02/01/2023 |
|
RSA-1322A-S | Servicios de Transición Previa al Empleo | 02/01/2023 |
|
DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
|
CSE-1225A | Caretakers Raising Children | 02/01/2023 |
|
LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers | 02/01/2023 |
|
DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
|
CSE-1225A-S | Cuidadores que Crían Niños | 02/01/2023 |
|
30th Month December 2022 | 30th Month Financial Report FY 2023 through December 2022 | 01/31/2023 |
|
2022 Homeless Lottery Funds Report | 2022 Homeless Lottery Funds Report | 01/30/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
AAA-1120A | Participant Evaluation | 09/01/2019 |
|
CCA-1116A | Child Care Assistance Priority Waiting List Income Table | 09/01/2019 |
|
RSA-1384A | BEP Job-Shadowing Evaluation | 09/01/2019 |
|
CSE-1007A-S | Encuesta de Satisfacción del Cliente | 09/01/2019 |
|
DDD-1328B | Referral to Vocational Rehabilitation Packet (English) | 08/01/2019 |
|
RSA-1376A | Request for Vending Services Placement | 08/01/2019 |
|
DDD-0524A | Authorization for Release of Information (English) | 08/01/2019 |
|
DDD-1328A | Referral to Vocational Rehabilitation (English) | 08/01/2019 |
|
UIB-0098A | Eligibility Investigation Record | 08/01/2019 |
|
UIA-1060A | Filing of Weekly Claims (English/Spanish) | 08/01/2019 |
Stay up-to-date with news and updates delivered straight to your inbox
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