You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
AAA-1204A | Volunteer Performance Evaluation | 12/01/2022 |
|
DDD-1542A-S | Assisted Living Center Occupancy (Spanish) | 12/01/2022 |
|
CCA-0039A-S | Medical Statement (Spanish) | 12/01/2022 |
|
DDD-2051A_2022 | Policy Development Tool 2022 | 12/01/2022 |
|
DDD-0522A | DDD Intake Record (English) | 12/01/2022 |
|
AAA-1180A | Volunteer Application | 12/01/2022 |
|
AAA-1346A | Medical Need Verification | 12/01/2022 |
|
AAA-1402A | Conflict of Interest Statement | 12/01/2022 |
|
EAP-1004A | Applicant Statement of Tribal LIHEAP Denial (English) | 12/01/2022 |
|
LCR-1000A | Agency Compliance Audit Checklist (English) | 12/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DES-1077A | Notice of Privacy Practices (English) | 09/01/2018 |
|
DES-1059A | Authorization to Release Information (English/Spanish) | 09/01/2018 |
|
UIB-0098D | Eligibility Investigation Record - Administrative Penalty | 09/01/2018 |
|
DES-1077A-LP | Notice of Privacy Practices - Large Print (English) | 09/01/2018 |
|
DES-1077A-S-LP | Notice of Privacy Practices - Large Print (Spanish) | 09/01/2018 |
|
ESA-1220A | Work Readiness Self-Assessment | 09/01/2018 |
|
ESA-1220A-S | Autoevaluación Para Determinar La Preparación Laboral | 09/01/2018 |
|
CC-001A-S | Derechos y Responsabilidades de la Asistencia para Cuidado de Niños | 08/01/2018 |
|
CC-001A | Child Care Assistance Rights and Responsibilities | 08/01/2018 |
|
DDD-1727A | Direct Service Position (English) | 07/01/2018 |
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