You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
|
CCA-0208A-S | Provider/Parent/Guardian's Agreement for Child Care Charges (Spanish) | 07/01/2023 |
|
FAA-1410A-SXLP | Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Extra Grande) | 07/01/2023 |
|
FAA-1513A-LP | Time Savings Tips (Large Print) | 07/01/2023 |
|
CCA-1190A | Tribal New Child Care Referral | 07/01/2023 |
|
PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
|
FAA-1513A-S | Consejos para Ahorrar Tiempo | 07/01/2023 |
|
DDD-0308A | Individual Emergency Information - Residential | 07/01/2023 |
|
CCA-1176A | Parent/Guardian Affidavit of Non-Compensated Child Care (English) | 07/01/2023 |
|
FAA-1714A | Mid Approval Contact - Lobby (English) | 07/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1570A-S | Acuerdo de Sanción de Asistencia en efectivo (CA) por condena de drogas | 08/01/2022 |
|
HRP-1032A | Commodity Senior Food Program (CSFP) Informal Dispute Resolution Meeting / Fair Hearing Request | 08/01/2022 |
|
DDD-2149A | Authorization to Release Records | 08/01/2022 |
|
FAA-1828A | Provider Determination (English) | 08/01/2022 |
|
HRP-1052A-S | Aviso de Acción del Programa Suplementario de Comestibles Básicos (CSFP) | 08/01/2022 |
|
RSA-1382A | BEP Memo | 08/01/2022 |
|
HRP-1052A | CSFP Notice of Action | 08/01/2022 |
|
HRP-1032A-S | Programa Suplementario de Comestibles Básicos (CSFP) Solicitud para Reunión Informal de Resolución de Disputas / Audiencia Imparcial | 08/01/2022 |
|
HRP-1041A | Commodity Senior Food Program (CSFP) Waiting List Enrollment Notification | 08/01/2022 |
|
GCI-1147B | Records Request Response (Contractors) | 08/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-1807ACRD-S | Volunteer with a Human Rights Committee (Card Spanish) | 03/01/2017 |
|
OBM-1000A | The Office of the Ombudsman | 01/01/2017 |
|
OBM-1000A-S | La Oficina de Defensor de Cliente | 01/01/2017 |
|
DDD-1795APAMPD | Dental Care Adult (Ages 21+) (English) | 12/01/2016 |
|
DDD-1795APAMS | Dental Care Adult (Ages 21+) (Spanish) | 12/01/2016 |
|
DDD-1751A | Responsible Driving Information Fact Sheet#6 (English) | 07/01/2016 |
|
DDD-1745A-S | Vehicle Safety Buckle Up - Q&A's (Spanish) | 06/01/2016 |
|
UIB-1220A | The Following Information is Required to File a New Application | 06/01/2016 |
|
DDD-1745A | Vehicle Safety Buckle Up - Q&A's (English) | 05/01/2016 |
|
UIB-1219B | How to File Your Weekly Claim (Bilingual) | 04/01/2016 |
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