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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FAA-0098C | EBT Transaction Adjustment Hearing Request | 05/01/2023 |
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FAA-0053A-LP | Verification of New/Current Employment - Large Print (English) | 05/01/2023 |
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FAA-1004A-SXLP | Designation of EBT Alternate Card Holder - Extra Large Print (Spanish) | 05/01/2023 |
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FAA-0065A-XLP | Verification of Living Arrangements/Residential Address - Extra Large Print (English) | 05/01/2023 |
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DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
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CCA-1170AS | Petición para el Retiro o Terminación de Solicitud - Para Proveedores de Cuidado de Niños | 05/01/2023 |
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FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
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GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
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CCA-1175A | Landlord Permission to Provide Family Child Care Service | 05/01/2023 |
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FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
HRP-1015A | Annual Civil Rights Training (English) | 07/01/2022 |
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CS-127-PF | Acknowledgment of Paternity (English / Spanish) | 07/01/2022 |
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UIB-0101C | Work Search Plan of Action Affidavit (English) | 07/01/2022 |
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HRP-1016A-S | Confidencialidad del Voluntario | 07/01/2022 |
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HRP-1016A | Volunteer Confidentiality | 07/01/2022 |
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HRP-1039A-S | Programa Suplementario de Comestibles Básicos (CSFP) Derechos y obligaciones del participante | 07/01/2022 |
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HRP-1015A-S | Annual Civil Rights Training (Spanish) | 07/01/2022 |
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GCI-1095A | Joint Visit Planning Tool | 06/01/2022 |
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CCA-1271A | Service Consent Form (English) | 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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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