You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
CAP-1001A | Community Action Service Providers | 12/01/2022 |
EAP-1004A | Applicant Statement of Tribal LIHEAP Denial (English) | 12/01/2022 |
DDD-0208A-S | Community Living Services (CLS) Application and Agreement (Spanish) | 12/01/2022 |
CAP-1001A-S | Servicios de Acción Comunitaria | 12/01/2022 |
DDD-0208A | Community Living Services (CLS) Application and Agreement (English) | 12/01/2022 |
AAA-1180A | Volunteer Application | 12/01/2022 |
DDD-0522A | DDD Intake Record (English) | 12/01/2022 |
DDD-1541A | ALTCS Enrollment Transition Information (ETI) (English) | 12/01/2022 |
CCA-0004A | Accident, Illness or Injury Report (Eng/Span) | 12/01/2022 |
CCA-0005A | Log of Accidents, Injuries or Illnesses (English/Spanish) | 12/01/2022 |
Number | Document Name | Effective Date |
---|---|---|
DDD-1404B | Employment Support Aide - Six Month Report (English) | 05/01/2017 |
UB-433-FF | Voluntary Election for Federal/State Income Tax Withholding (English/Spanish) | 05/01/2017 |
FBU-1003A | DERS Direct Service Position | 05/01/2017 |
CCA-1114A | Contractor Eligibility Verification | 04/01/2017 |
DDD-1151A | Augmentative Alternative Communication (AAC) Evalution Request (English) | 04/01/2017 |
CSE-1249A | Father Matters Referral | 04/01/2017 |
UB-101-A | Work Search Log (English / Spanish) | 04/01/2017 |
DDD-1753A | Policy and Procedure Focused Review: Responsible Driving Tool/Transporting Members (English) | 03/01/2017 |
WIO-1057A | H-2B Foreign Labor SWA Job Order Form | 02/01/2017 |
CCA-1228A | Direct Service Position (Certification Form) | 12/01/2016 |
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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