You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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FAA-1810A | Register to vote (Bilingual) | 08/01/2021 |
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FAA-1799A | Drug/Alcohol Treatment Center Training Acknowledgment | 05/01/2023 |
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FAA-1796A | Affidavit of Visually Viewed Documentation | 02/01/2021 |
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FAA-1788A-S | Tarjeta de Prueba de Elegibilidad | 08/01/2023 |
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FAA-1788A | Proof of Eligibility Card | 06/01/2023 |
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FAA-1775A | How Do I File a Complaint (English/Spanish) | 07/01/2023 |
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FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
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FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
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FAA-1765A-S | Autoridad para Divulgar Información | 05/01/2023 |
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FAA-1765A | Authority to Release Information | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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CCA-0031A | Verbal Notice of Eligibility (English/Spanish) | 10/01/2022 |
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CCA-0024A-S | Employment and Wage Verification Statement (Spanish) | 11/01/2021 |
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CCA-0024A | Employment and Wage Verification Statement (English) | 11/01/2021 |
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CCA-0005A | Log of Accidents, Injuries or Illnesses (English/Spanish) | 12/01/2022 |
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CCA-0004A | Accident, Illness or Injury Report (Eng/Span) | 12/01/2022 |
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CCA-0001A-S | Application for Child Care Assistance (Spanish) | 09/01/2023 |
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CCA-0001A | Application for Child Care Assistance (English) | 09/01/2023 |
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CC-228-S | Registro Presupuestario de empleo propio | 10/01/2018 |
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CC-228 | Self-Employment Budget Record | 10/01/2018 |
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CC-214-S | Acuerdo de Tarifas del Proveedor de Cuidado de Niños | 11/01/2022 |
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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