You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
|
CCA-1216A | Notice to All Families Enrolled at DES Child Care Facility/Aviso A Todas Las Familias Inscritas En Una Instalación De Cuidado De Niños Del DES | 02/01/2023 |
|
CSE-1225A | Caretakers Raising Children | 02/01/2023 |
|
DDD-1580A | Reversal Adjustment Request Cover Sheet (English) | 02/01/2023 |
|
DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
|
RSA-1322A | Pre-Employment Transition Services | 02/01/2023 |
|
CSE-1225A-S | Cuidadores que Crían Niños | 02/01/2023 |
|
DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
|
RSA-1322A-S | Servicios de Transición Previa al Empleo | 02/01/2023 |
|
DDD-1658A | Agency With Choice: Individual Representative (English) | 02/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-1328B | Referral to Vocational Rehabilitation Packet (English) | 08/01/2019 |
|
DDD-1328A | Referral to Vocational Rehabilitation (English) | 08/01/2019 |
|
UIB-0098A | Eligibility Investigation Record | 08/01/2019 |
|
DDD-0524A-S | Authorization for Release of Information (Spanish) | 08/01/2019 |
|
CCA-1261A | Certified Family Child Care Provider Application | 07/01/2019 |
|
CCA-0206A-S | Cuestionario para la Entrevista de Certificación Inicial | 07/01/2019 |
|
UB-099-Y | Certification of Understanding (English / Spanish) | 07/01/2019 |
|
LCR-1007A | Home Visit Report Supplement to Notice of Inspection and Due Process Rights | 07/01/2019 |
|
CCA-1260A-S | Solicitud de Proveedor Suplente | 07/01/2019 |
|
RSA-1312A | Authorization for Disclosure of Health Information to RSA | 07/01/2019 |
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