You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
|
CCA-1170A | Withdrawal or Termination Request for Child Care Providers | 05/01/2023 |
|
DDD-2203A | Daily Shift Log (English) | 05/01/2023 |
|
GCI-1037A | Public Education Agency (PEA) Notification/Referral | 05/01/2023 |
|
FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
|
CCA-1170AS | Petición para el Retiro o Terminación de Solicitud - Para Proveedores de Cuidado de Niños | 05/01/2023 |
|
GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
|
GCI-1037A-S | Aviso o Recomendación de la Agencia de Educación Pública (PEA) | 05/01/2023 |
|
FAA-0255A-S | Afirmación De Hogares Por Separado | 05/01/2023 |
|
FAA-1565A-S | Acuerdo de Prueba de Drogas para recibir Asistencia Nutricional | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
J-020-S | Discrimination Complaint- Clients, Applicants and Contractors (Spanish) | 08/01/2020 |
|
GCI-1059A | Unable to Process Letter | 08/01/2020 |
|
J-020-SLP | Discrimination Complaint - Clients, Applicants and Contractors - Large Print (Spanish) | 08/01/2020 |
|
GCI-1059AS | Carta de No poder hacer el trámite | 08/01/2020 |
|
J-020-LP | Discrimination Complaint - Clients, Applicants and Contractors - Large Print (English) | 08/01/2020 |
|
CCA-1269A-S | Declaración Jurada del Proveedor de Cuidado de Niños en el Hogar (FCC) Registrado | 08/01/2020 |
|
J-930-A | Request for Modification/Accomodation to Participate in A Program, Service, or Activity (Confidential) (English) | 07/01/2020 |
|
RSA-1390A | Statement of Services Rendered | 07/01/2020 |
|
GCI-1085A | Vision Screening Checklist | 07/01/2020 |
|
GCI-1085A-S | Lista de verificación para el examen de la visión | 07/01/2020 |
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