You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-2249A-S | Age 6 Redetermination Packet (Spanish) | 11/01/2023 |
|
EAP-1006A | LIHEAP Portable Fuel Certification (English) | 11/01/2023 |
|
DDD-2250A-S | Age 18 Redetermination Packet (Spanish) | 11/01/2023 |
|
DDD-2076A | DDD Health Plan Care Management Referral (English) | 11/01/2023 |
|
UIB-1266A | Tips for Completing Your Work Search Requirements (English) | 11/01/2023 |
|
DDD-2249A | Age 6 Redetermination Packet (English) | 11/01/2023 |
|
RRP-1017A-S | Program Participants Application for Recertification (Spanish) | 11/01/2023 |
|
RSA-1437A-S | Annual American Indian Disability Summit (Spanish) | 11/01/2023 |
|
UIB-1266A-S | Tips for Completing Your Work Search Requirements (Spanish) | 11/01/2023 |
|
RRP-1018A-S | Client Employment & Income Attestation Form (Spanish) | 11/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1821A-SXLP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Extra Large Print (Spanish) | 06/01/2023 |
|
FAA-1439A-XLP | Self-Employment Income Statement - Extra Large Print (English) | 06/01/2023 |
|
FAA-0255A | Separate Household Status Statement | 05/01/2023 |
|
FAA-0065A-SXLP | Verification of Living Arrangements/Residential Address - Extra Large Print (Spanish) | 05/01/2023 |
|
FAA-0053A-XLP | Verification of New/Current Employment - Extra Large Print (English) | 05/01/2023 |
|
FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
|
CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger | 05/01/2023 |
|
FAA-0060A | Authority to Release Student Information | 05/01/2023 |
|
FAA-1494A-SXLP | Remoción de un(a) Representante Autorizado(a) (Letra Extra Grande) | 05/01/2023 |
|
CCA-1163A-S | Afidávit de Exención de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores | 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