You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English) | 05/01/2023 |
CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
FAA-0257A | Individual Development Account Agreement (English) | 05/01/2023 |
DDD-1622A | Home Modification Requests Support Coordinator’s (SC) Checklist (English) | 05/01/2023 |
CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
DDD-1678A | Home Modifications Service Assessment (English) | 05/01/2023 |
FAA-0259A | Unwed Minor Parent Abuse/Neglect Claim | 05/01/2023 |
FAA-0620A | Treatment Center Change Report | 05/01/2023 |
FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
CSE-1007 | Customer Satisfaction Survey | 09/01/2019 |
DDD-0403A | Reference Request (English) | 09/01/2019 |
RSA-1383A | BEP Training - Applicant Checklist | 09/01/2019 |
RSA-1386A | BEP 8 Step Process | 09/01/2019 |
RSA-1376A | Request for Vending Services Placement | 08/01/2019 |
DDD-0524A-S | Authorization for Release of Information (Spanish) | 08/01/2019 |
DDD-0524A | Authorization for Release of Information (English) | 08/01/2019 |
UIA-1060A | Filing of Weekly Claims (English/Spanish) | 08/01/2019 |
DDD-1328A | Referral to Vocational Rehabilitation (English) | 08/01/2019 |
UIB-0098A | Eligibility Investigation Record | 08/01/2019 |
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