You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-1747A | Assisted Living Facility (ALF) Residential Facility (English) | 03/01/2023 |
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AAA-1407A | World Elder Abuse Awareness Day Postcard | 03/01/2023 |
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WIO-1200A | The RED Reentry Program | 03/01/2023 |
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RSA-1316A | American Indian Disability Summit Program | 03/01/2023 |
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CCA-1312A-S | Acuerdo del Proveedor/Padre/Madre/Tutor Acerca de los Costos de Cuidado de Niños No Cubiertos por el DES | 03/01/2023 |
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RSA-1305A | Pre-Employment Transition Services Request Form for Students with Disabilities (English) | 03/01/2023 |
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DES-1254A | DES Programs and Services List | 03/01/2023 |
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WIO-1200A-S | El Programa de Reintegración RED | 03/01/2023 |
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LCR-1064A | Statement of Understanding-Application for HCBS Certification | 03/01/2023 |
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DES-1254A-S | Lista de Programas y Servicios de DES | 03/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
AAA-1122A | Host Agency Application | 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-1261A-S | Solicitud de Proveedor Certificado de Cuidado de Niños Familiar | 07/01/2019 |
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RSA-1312A | Authorization for Disclosure of Health Information to RSA | 07/01/2019 |
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RSA-1312A-S | Autorización Para Divulgación De Información De Salud a RSA | 07/01/2019 |
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CCA-1260A | Back Up Provider Application | 07/01/2019 |
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UB-099-Y | Certification of Understanding (English / Spanish) | 07/01/2019 |
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CCA-1261A | Certified Family Child Care Provider Application | 07/01/2019 |
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LCR-1007A | Home Visit Report Supplement to Notice of Inspection and Due Process Rights | 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