You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
|
DDD-1622A | Home Modification Requests Support Coordinator’s (SC) Checklist (English) | 05/01/2023 |
|
FAA-1004A-XLP | Designation of EBT Alternate Card Holder - Extra Large Print (English) | 05/01/2023 |
|
FAA-0098C | EBT Transaction Adjustment Hearing Request | 05/01/2023 |
|
FAA-0412A-XLP | Change Report - Extra Large Print (English) | 05/01/2023 |
|
FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
|
FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
|
FAA-1004A | Designation of EBT Alternate Card Holder (English) | 05/01/2023 |
|
FAA-1004A-SLP | Designation of EBT Alternate Card Holder - Large Print (Spanish) | 05/01/2023 |
|
GCI-1041A-S | Consentimiento para el Uso del Seguro de Salud | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-2107A | What Works and What Doesn't Work Worksheet | 06/01/2021 |
|
AAA-1350B | Family Caregiver Support Program Evaluation | 05/01/2021 |
|
AAA-1350C | Annual Follow Up | 05/01/2021 |
|
CCA-1287A | Emergency Evacuation Drill Record | 05/01/2021 |
|
CCA-1287A-S | Registro de Simulacros de Evacuación de Emergencia | 05/01/2021 |
|
DDD-1530A | Managed Risk Agreement Services and/or Placement (English) | 05/01/2021 |
|
DDD-1530A-LP | Managed Risk Agreement Services and/or Placement (Large Print) | 05/01/2021 |
|
DDD-1530A-S | Managed Risk Agreement Services and/or Placement (Spanish) | 05/01/2021 |
|
DDD-1436A | Behavioral Health Professional Consultation Summary (English) | 04/01/2021 |
|
TAA-1065A | Notice of Potential Trade Adjustment Assistance Eligibility | 04/01/2021 |
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