You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-0126A-S | Preguntas Frecuentes de Asistencia Nutricional | 06/01/2023 |
FAA-0155A | Recent Employment/Training Background | 06/01/2023 |
FAA-1823A | Keep Your Nutrition and Cash Assistance Benefits Safe (English/Spanish) | 06/01/2023 |
FAA-0155B | Determination of Primary Wage Earner (PWE) | 06/01/2023 |
FAA-1788A | Proof of Eligibility Card (English) | 06/01/2023 |
FAA-0155A-S | Antecedentes de Empleo o Capacitación Reciente | 06/01/2023 |
FAA-1523A | Cash Programs Personal Responsibility Agreement (PRA) (English) | 06/01/2023 |
FAA-1788A-S | Proof of Eligibility Card (Spanish) | 06/01/2023 |
FAA-1111A-LP | Participant Statement Verification Worksheet (Large Print) | 06/01/2023 |
FAA-0059A | Authority to Release Records | 06/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
LCR-1053A | Renewal Application Worksheet (English) | 06/01/2020 |
GCI-1020AS | Authorization to Disclose Protected Health Information (Spanish) | 06/01/2020 |
SNA-1000A | Rights and Responsibilities (English) | 06/01/2020 |
SNA-1000A-S | Rights and Responsibilities (Spanish) | 06/01/2020 |
GCI-1088A | Child and Family Assessment Guide for Families (English) | 06/01/2020 |
AAA-1355A | APS Registry Employer Certification Form | 05/01/2020 |
GCI-1020A | Authorization to Disclose Protected Health Information | 05/01/2020 |
GCI-1039A | Consent to Obtain Information (English) | 05/01/2020 |
GCI-1039AS | Consent to Obtain Information (Spanish) | 05/01/2020 |
ESA-1126A | Cancellation of Direct Deposit (English) | 04/01/2020 |
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