You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-0211A | Home Modifications Service Referral and Request (English) | 05/01/2023 |
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CCA-1170A | Withdrawal or Termination Request for Child Care Providers | 05/01/2023 |
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FAA-0065A-SLP | Verification of Living Arrangements/Residential Address - Large Print (Spanish) | 05/01/2023 |
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FAA-0053A-XLP | Verification of New/Current Employment - Extra Large Print (English) | 05/01/2023 |
|
FAA-1765A | Authority to Release Information | 05/01/2023 |
|
DDD-1678A | Home Modifications Service Assessment (English) | 05/01/2023 |
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FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
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FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
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FAA-0412A-XLP | Change Report - Extra Large Print (English) | 05/01/2023 |
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DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
ESA-1303A | Job Order | 04/01/2022 |
|
UB-194-FF | Employer Verification or Requalifying Earnings | 04/01/2022 |
|
GCI-1021E | Individualized Family Service Plan (IFSP) Transition | 04/01/2022 |
|
CCA-1199A-S | Guía de Preparación en Caso de Emergencias y Planificación de Respuesta | 04/01/2022 |
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GCI-1021A-S | Plan Individualizado de Servicio Familiar - Paquete | 04/01/2022 |
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GCI-1021E-S | Plan Individualizado De Servicio Familiar (IFSP) Transición | 04/01/2022 |
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GCI-1141A | SSIP Evaluation Plan Summary | 04/01/2022 |
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CCA-1199A | Emergency Preparedness & Response Planning | 04/01/2022 |
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DDD-1988A | PRC Disposition (English) | 03/01/2022 |
|
DDD-1988A-S | PRC Disposition (Spanish) | 03/01/2022 |
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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