You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1840A-S | Mantenga sus Beneficios a Salvo | 06/01/2023 |
FAA-1615A-S | Denuncie el fraude de la Asistencia Nutricional | 06/01/2023 |
FAA-1111A-LP | Participant Statement Verification Worksheet (Large Print) | 06/01/2023 |
FAA-0260A | Claim of Sexual Assault or Incest | 06/01/2023 |
FAA-0059A | Authority to Release Records | 06/01/2023 |
FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
FAA-0260A-S | Denuncia de Agresión Sexual o Incesto | 06/01/2023 |
FAA-0059A-S | Autoridad para Divulgar Expedientes | 06/01/2023 |
FAA-0837A | Authorization to Open an IDA | 06/01/2023 |
FAA-0177A | Claim of Good Cause (English/Spanish) | 06/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
FAA-0620A | Treatment Center Change Report | 05/01/2023 |
FAA-1494A | Authorized Representative Removal (English) | 05/01/2023 |
FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request - Extra Large Print (English) | 05/01/2023 |
FAA-1565A | Nutrition Assistance Drug Testing Agreement (English) | 05/01/2023 |
FAA-0574A-SXLP | Withdrawal or Stop Benefits/Appeal Request - Extra Large Print (Spanish) | 05/01/2023 |
FAA-0574A | Withdrawal or Stop Benefits/Appeal Request (English) | 05/01/2023 |
FAA-1565A-S | Nutrition Assistance Drug Testing Agreement (Spanish) | 05/01/2023 |
FAA-1353A-S | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance (Spanish) | 05/01/2023 |
FAA-1366A | Eligibility Requirements | 05/01/2023 |
FAA-0065A-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
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