You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
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CCA-1164A-S | Affidavit of Immunization Exemption - For Children in Care (Spanish) | 05/01/2023 |
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FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
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FAA-1249A | Verification of Disability | 05/01/2023 |
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FAA-1701A | Verification of Terminated Employment (English) | 05/01/2023 |
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FAA-1494A | Authorized Representative Removal | 05/01/2023 |
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FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
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GCI-1032A | IFSP Transition Meeting Invitation Prior Written Notice | 05/01/2023 |
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FAA-1546A | Sponsor Deeming Information | 05/01/2023 |
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DDD-0211A | Home Modifications Service Referral and Request (English) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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DCS-1339A | Request for Administrative Review (Seizure of Property) | 06/01/2022 |
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DCS-1339A-S | Solicitud de Revisión Administrativa (Incautación de Propiedad) | 06/01/2022 |
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GCI-1046A | Referral Letter | 06/01/2022 |
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GCI-1046A-S | Carta de referencia | 06/01/2022 |
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HRP-1055A | TEFAP Annual Agreement-CHRP/RFB | 06/01/2022 |
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CCA-1207A-S | Aviso Sobre Derechos de Monitorización - Verificación de Divulgación | 06/01/2022 |
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GCI-1034A | Records Released Log | 06/01/2022 |
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HRP-1053A | CSFP Annual Agreement- CHRP/RFB | 06/01/2022 |
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CCA-1207A | Notice of Monitoring Rights - Disclosure Verification | 06/01/2022 |
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LDU-1011A | Important Labor Dispute Information | 06/01/2022 |
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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