You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-0620A | Treatment Center Change Report | 05/01/2023 |
|
FAA-1546A | Sponsor Deeming Information (English) | 05/01/2023 |
|
FAA-1494A-LP | Authorized Representative Removal (Large Print) | 05/01/2023 |
|
FAA-0065A | Verification of Living Arrangements/Residential Address (English) | 05/01/2023 |
|
FAA-1494A | Authorized Representative Removal | 05/01/2023 |
|
FAA-1546A-S | Sponsor Deeming Information (Spanish) | 05/01/2023 |
|
FAA-0065A-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
|
FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
|
FAA-1494A-SXLP | Remoción de un(a) Representante Autorizado(a) (Letra Extra Grande) | 05/01/2023 |
|
FAA-1004A-XLP | Designation of EBT Alternate Card Holder - Extra Large Print (English) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
|
FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
|
FAA-0257A | Individual Development Account Agreement (English) | 05/01/2023 |
|
FAA-0620A | Treatment Center Change Report | 05/01/2023 |
|
FAA-1701A | Verification of Terminated Employment (English) | 05/01/2023 |
|
FAA-0259A | Unwed Minor Parent Abuse/Neglect Claim | 05/01/2023 |
|
FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
|
FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
|
FAA-0259A-S | Denuncia de Abuso o Negligencia de un Padre Soltero que es Menor de Edad | 05/01/2023 |
|
FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
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