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-1841A-S | Regreso a Renovaciones Regulares de MA | 09/01/2023 |
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DES-1139A-S | Services Provided by DES (Spanish) | 09/01/2023 |
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FAA-1573A | Your Rights and Responsibilities | 09/01/2023 |
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CCA-0001A | Application for Child Care Assistance (English) | 09/01/2023 |
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HRP-1027A | USDA Compliance Review | 09/01/2023 |
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FAA-1573A-S | Sus Derechos y Responsabilidades | 09/01/2023 |
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DDD-2114A | Application for Redetermination of Eligibility at Age 18 (English) | 09/01/2023 |
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DDD-2242A | Authorization for Transmission of Protected Health Information Via Unsecured Email | 09/01/2023 |
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CCA-0001A-S | Application for Child Care Assistance (Spanish) | 09/01/2023 |
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FAA-1573A-LP | Your Rights and Responsibilities (Large Print) | 09/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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FAA-1821A-SLP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Large Print (Spanish) | 06/01/2023 |
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CCA-1105A | Tax Claimant Questionnaire | 06/01/2023 |
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FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
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FAA-0559A | Food Distribution / Nutrition Assistance Program Participation | 05/01/2023 |
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CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger | 05/01/2023 |
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FAA-0053A | Verification of New/Current Employment (English) | 05/01/2023 |
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CCA-1163A-S | Afidávit de Exención de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores | 05/01/2023 |
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FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 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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GCI-1041A-S | Consentimiento para el Uso del Seguro de Salud | 05/01/2023 |
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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