You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-2172A | Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information | 02/01/2023 |
|
WIO-1108A | WIOA EO Monitoring Review Guide | 02/01/2023 |
|
DDD-1883A-S | ¿Qué es PASRR? Una guía para las familias | 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 |
|
DDD-1883A | What is PASRR? | 02/01/2023 |
|
LCR-1084A-S | Solicitud de Renovación o Certificado de HCBS Modificado para Proveedores Independientes | 02/01/2023 |
|
DDD-1580A | Reversal Adjustment Request Cover Sheet (English) | 02/01/2023 |
|
DDD-1658A | Agency With Choice: Individual Representative (English) | 02/01/2023 |
|
DDD-1658A-S | Agency With Choice: Individual Representative (Spanish) | 02/01/2023 |
|
DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-1532A | Hardship Reduction Request (English) | 09/01/2019 |
|
RSA-1384A | BEP Job-Shadowing Evaluation | 09/01/2019 |
|
DDD-1532A-S | Hardship Reduction Request (Spanish) | 09/01/2019 |
|
CSE-1007A-S | Encuesta de Satisfacción del Cliente | 09/01/2019 |
|
CSE-1007 | Customer Satisfaction Survey | 09/01/2019 |
|
DDD-0524A | Authorization for Release of Information (English) | 08/01/2019 |
|
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 |
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