You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1565A | Nutrition Assistance Drug Testing Agreement (English) | 05/01/2023 |
GCI-1037A | Public Education Agency (PEA) Notification/Referral (English) | 05/01/2023 |
FAA-1768A-S | Overpayment Compromise Request Form (Spanish) | 05/01/2023 |
FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request - Extra Large Print (English) | 05/01/2023 |
AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
FAA-0259A | Unwed Minor Parent Abuse/Neglect Claim | 05/01/2023 |
FAA-0065A-SLP | Verification of Living Arrangements/Residential Address - Large Print (Spanish) | 05/01/2023 |
FAA-1765A | Authority to Release Information | 05/01/2023 |
GCI-1037A-S | Public Education Agency (PEA) Notification/Referral (Spanish) | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
CSE-1007A-S | Encuesta de Satisfacción del Cliente | 09/01/2019 |
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 |
DDD-0524A-S | Authorization for Release of Information (Spanish) | 08/01/2019 |
RSA-1376A | Request for Vending Services Placement | 08/01/2019 |
CCA-0206A-S | Cuestionario para la Entrevista de Certificación Inicial | 07/01/2019 |
CCA-1260A-S | Solicitud de Proveedor Suplente | 07/01/2019 |
CCA-1261A-S | Solicitud de Proveedor Certificado de Cuidado de Niños Familiar | 07/01/2019 |
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