You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
RSA-1298B | Blind/Visually Impaired Deaf/Hard of Hearing Summer Youth Program Referral | 01/01/2023 |
|
RSA-1298B-S | Recomendación para el Programa de Verano para Jóvenes Ciegos/Visión Reducida Sordo/Dificultades Auditivas | 01/01/2023 |
|
RSA-1298B-LP | Blind/Visually Impaired Deaf/Hard of Hearing Summer Youth Program Referral (Large Print) | 01/01/2023 |
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RSA-1298B-SLP | Recomendación para el Programa de Verano para Jóvenes Ciegos/Visión Reducida Sordo/Dificultades Auditivas (Letra Grande) | 01/01/2023 |
|
DDD-2154A-S | Entrada general a la Feria Comunitaria del Voluntariado de la DDD | 01/01/2023 |
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VR-11.4 | 11.4 Job Related Services | 12/30/2022 |
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VR-5.1 | 5.1 Closure Criteria | 12/30/2022 |
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VR-4.5.4 | 4.5.4 Self-Employment - Business Startup, Progress Monitoring and Closure | 12/30/2022 |
|
VR-7.2 | 7.2 Comparable Benefits | 12/30/2022 |
|
VR-2.3 | 2.3 Applicant/Client Authorization | 12/30/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-0524A-S | Authorization for Release of Information (Spanish) | 08/01/2019 |
|
UIA-1060A | Filing of Weekly Claims (English/Spanish) | 08/01/2019 |
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CCA-0206A-S | Cuestionario para la Entrevista de Certificación Inicial | 07/01/2019 |
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CCA-1260A-S | Solicitud de Proveedor Suplente | 07/01/2019 |
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CCA-1259A | DES Certified Home-Based Child-Care Provider Pre Application | 07/01/2019 |
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CCA-1261A-S | Solicitud de Proveedor Certificado de Cuidado de Niños Familiar | 07/01/2019 |
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CCA-1260A | Back Up Provider Application | 07/01/2019 |
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CCA-1261A | Certified Family Child Care Provider Application | 07/01/2019 |
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UB-099-Y | Certification of Understanding (English / Spanish) | 07/01/2019 |
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RSA-1312A | Authorization for Disclosure of Health Information to RSA | 07/01/2019 |
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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