You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
CCA-1164A-S | Affidavit of Immunization Exemption - For Children in Care (Spanish) | 05/01/2023 |
FAA-0259A-S | Denuncia de Abuso o Negligencia de un Padre Soltero que es Menor de Edad | 05/01/2023 |
FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 05/01/2023 |
AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
GCI-1032A | IFSP Transition Meeting Invitation Prior Written Notice | 05/01/2023 |
FAA-0065A-SLP | Verification of Living Arrangements/Residential Address - Large Print (Spanish) | 05/01/2023 |
FAA-1765A | Authority to Release Information | 05/01/2023 |
DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
CCA-1170A | Withdrawal or Termination Request for Child Care Providers | 05/01/2023 |
FAA-1366A | Eligibility Requirements | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
RSA-1367A-S | Derechos de Apelación | 06/01/2019 |
CCA-1259A-S | DES Certified Home-Based Child-Care Provider Pre Application (Spanish) | 06/01/2019 |
RSA-1367A-SLP | Derechos de Apelación (Letra Grande) | 06/01/2019 |
CCA-1259A | DES Certified Home-Based Child-Care Provider Pre Application (English) | 06/01/2019 |
SNA-1046A | Monthly Work Activity Report | 05/01/2019 |
SNA-1046A-S | Informe Mensual de Actividades Laborales (Monthly Work Activity Report) | 05/01/2019 |
CCA-1262A | Home Inspection Checklist | 05/01/2019 |
DDD-1403E | Job Coach Agreement Individual Supported Employment Services (English) | 05/01/2019 |
DDD-1403F | Job Search Agreement - Individual Supported Employment Services (English) | 05/01/2019 |
CCA-1264A | Application Completeness Review Checklist | 05/01/2019 |
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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