You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
FAA-1799A | Drug/Alcohol Treatment Center Training Acknowledgment | 05/01/2023 |
CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English) | 05/01/2023 |
DDD-2131B | Volunteers Needed/ Necesitan Voluntarios | 05/01/2023 |
CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
DDD-2203A | Daily Shift Log (English) | 05/01/2023 |
FAA-0065A-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
FAA-1366A | Eligibility Requirements | 05/01/2023 |
FAA-1506A | Statement of No Income (English) | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
LCR-1033A | Life-Safety Inspection Request (English) | 02/01/2020 |
FCT-1000A | Formal Request for Tribal Community | 01/01/2020 |
UB-217C | Wage Protest (English) | 01/01/2020 |
UB-217 | Wage / Employment Investigation Request (English) | 01/01/2020 |
FAA-1442A | Tribal-Authority to Release Information / Autoridad Tribal para Divulgar Información | 12/01/2019 |
FAA-0075A | Verification of School Attendance (English) | 12/01/2019 |
LCR-1034A-S | Criminal History Self Disclosure Affidavit (Spanish) | 10/01/2019 |
GCI-1113A | Child Transfer Form | 10/01/2019 |
CCA-0218A | Sign-In/Sign-Out Record (English) | 10/01/2019 |
CCA-0218B | Sign-In/Sign-Out Record (Extended Version) | 10/01/2019 |
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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