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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DDD-1883A | What is PASRR? | 02/01/2023 |
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FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 02/01/2023 |
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RSA-1322A | Pre-Employment Transition Services | 02/01/2023 |
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LCR-1084A-S | Solicitud de Renovación o Certificado de HCBS Modificado para Proveedores Independientes | 02/01/2023 |
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RSA-1322A-S | Servicios de Transición Previa al Empleo | 02/01/2023 |
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DDD-1580A | Reversal Adjustment Request Cover Sheet (English) | 02/01/2023 |
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DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
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CSE-1225A | Caretakers Raising Children | 02/01/2023 |
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DDD-1658A | Agency With Choice: Individual Representative (English) | 02/01/2023 |
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CSE-1225A-S | Cuidadores que Crían Niños | 02/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-0221A | Spending Plan (English) | 02/01/2020 |
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LCR-1033A | Life-Safety Inspection Request | 02/01/2020 |
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FCT-1000A | Formal Request for Tribal Community | 01/01/2020 |
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UB-217C | Wage Protest (English) | 01/01/2020 |
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UB-217 | Wage / Employment Investigation Request (English) | 01/01/2020 |
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FAA-0075A | Verification of School Attendance/Verificación de Asistencia Escolar | 12/01/2019 |
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FAA-1442A | Tribal-Authority to Release Information / Autoridad Tribal para Divulgar Información | 12/01/2019 |
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LCR-1034A | Criminal History Self Disclosure Affidavit (English) | 10/01/2019 |
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LCR-1034A-S | Criminal History Self Disclosure Affidavit (Spanish) | 10/01/2019 |
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CCA-0218A | Sign-In/Sign-Out Record (English) | 10/01/2019 |
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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