You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-0065A-XLP | Verification of Living Arrangements/Residential Address - Extra Large Print (English) | 05/01/2023 |
FAA-1725A-S | Verification of Other Income (Spanish) | 05/01/2023 |
CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
FAA-0255A-S | Afirmación De Hogares Por Separado | 05/01/2023 |
FAA-1494A | Authorized Representative Removal (English) | 05/01/2023 |
FAA-0257A | Individual Development Account Agreement (English) | 05/01/2023 |
FAA-0574A | Withdrawal or Stop Benefits/Appeal Request (English) | 05/01/2023 |
FAA-1765A-S | Autoridad para Divulgar Información | 05/01/2023 |
DDD-0211A | Home Modifications Service Referral and Request (English) | 05/01/2023 |
CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
CCA-1261A | Certified Family Child Care Provider Application | 07/01/2019 |
CCA-0206A-S | Cuestionario para la Entrevista de Certificación Inicial | 07/01/2019 |
UB-099-Y | Certification of Understanding (English / Spanish) | 07/01/2019 |
LCR-1007A | Home Visit Report Supplement to Notice of Inspection and Due Process Rights (English) | 07/01/2019 |
CCA-1260A-S | Solicitud de Proveedor Suplente | 07/01/2019 |
LCR-1007A-S | Home Visit Report Supplement to Notice of Inspection and Due Process Rights (Spanish) | 07/01/2019 |
GCI-1049A | No Contact Letter | 07/01/2019 |
CCA-1261A-S | Solicitud de Proveedor Certificado de Cuidado de Niños Familiar | 07/01/2019 |
CCA-1260A | Back Up Provider Application | 07/01/2019 |
RSA-1367A | Appeal Rights | 06/01/2019 |
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