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-1788A | Proof of Eligibility Card | 06/01/2023 |
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CCA-1105A-S | Encuesta de reclamante fiscal | 06/01/2023 |
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FAA-1440A-S | Cash Assistance Benefit Limit Extension Request (Spanish) | 06/01/2023 |
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FAA-1440A | Cash Assistance Benefit Limit Extension Request (English) | 06/01/2023 |
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DDD-1479A-S | Notice of Extension (Spanish) | 06/01/2023 |
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FAA-1821A-S | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application (Spanish) | 06/01/2023 |
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FAA-1111A-SXLP | Formulario para Verificar la Declaración del Participante (Letra extra grande) | 06/01/2023 |
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FAA-1111A | Participant Statement Verification Worksheet | 06/01/2023 |
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FAA-0260A | Claim of Sexual Assault or Incest | 06/01/2023 |
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FAA-1440A-SLP | Cash Assistance Benefit Limit Extension Request - Large Print (Spanish) | 06/01/2023 |
Download | Number | Name | Effective Date |
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RSA-1312A-LP | Authorization for Disclosure of Health Information to RSA (Large Print) | 09/01/2022 |
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RSA-1213A-SLP | Autorización para Divulgación de Información de Salud a RSA (Letra Grande) | 09/01/2022 |
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UIB-1091A | Information Regarding Direct Deposit/Agreement for Direct Deposit (English) | 09/01/2022 |
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DDD-1390A | Human Rights Committee Volunteer Application | 09/01/2022 |
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HRP-1028A | Application for Benefits (TEFAP, CSFP) | 08/01/2022 |
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RSA-1382A | BEP Memo | 08/01/2022 |
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HRP-1032A | Commodity Senior Food Program (CSFP) Informal Dispute Resolution Meeting / Fair Hearing Request | 08/01/2022 |
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HRP-1052A | CSFP Notice of Action | 08/01/2022 |
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HRP-1052A-S | Aviso de Acción del Programa Suplementario de Comestibles Básicos (CSFP) | 08/01/2022 |
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HRP-1032A-S | Programa Suplementario de Comestibles Básicos (CSFP) Solicitud para Reunión Informal de Resolución de Disputas / Audiencia Imparcial | 08/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
TANF Report 2005 | TANF State Plan Effective 2005 Amended February 2007 | 10/01/2005 |
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Annual Report 2003-2004 | 2003-2004 DES Annual Report | 01/27/2005 |
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Annual Report 2002-2003 | 2002-2003 DES Annual Report | 02/02/2004 |
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Annual Report 2001-2002 | 2001-2002 DES Annual Report | 12/31/2002 |
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Annual Report 2000-2001 | 2000-2001 DES Annual Report | 01/18/2002 |
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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