You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
|
FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
|
FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
|
FAA-1004A-S | Designation of EBT Alternate Card Holder (Spanish) | 05/01/2023 |
|
FAA-1494A-SLP | Remoción de un(a) Representante Autorizado(a) (Letra Grande) | 05/01/2023 |
|
FAA-0053A | Verification of New/Current Employment (English) | 05/01/2023 |
|
FAA-0259A | Unwed Minor Parent Abuse/Neglect Claim | 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-2203A | Daily Shift Log (English) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
HRP-1033A | Commodity Senior Food Program (CSFP) ID/Transfer Card (English/Spanish) | 07/01/2022 |
|
HRP-1039A | Commodity Senior Food Program (CSFP) Participant Rights and Obligations | 07/01/2022 |
|
HRP-1015A | Annual Civil Rights Training (English) | 07/01/2022 |
|
UIB-0101C | Work Search Plan of Action Affidavit (English) | 07/01/2022 |
|
HRP-1016A | Volunteer Confidentiality | 07/01/2022 |
|
HRP-1016A-S | Confidencialidad del Voluntario | 07/01/2022 |
|
HRP-1039A-S | Programa Suplementario de Comestibles Básicos (CSFP) Derechos y obligaciones del participante | 07/01/2022 |
|
CCA-1271A | Service Consent Form (English) | 06/01/2022 |
|
GCI-1095A | Joint Visit Planning Tool | 06/01/2022 |
|
CCA-1271A-S | Service Consent Form (Spanish) | 06/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-1698A-S | Dental Care Ages Birth - 21 (Spanish) | 04/01/2015 |
|
DDD-1700A | Keep Your Baby Healthy | 02/01/2015 |
|
PAD-588-PD | Decisions About Your Health Care | 11/01/2011 |
|
PAD-588-PDS | Decisiones sobre el cuidado de su salud | 11/01/2011 |
|
DDD-1558A | Choking (Prevention is No Accident!) (English) | 11/01/2011 |
|
AAA-1100A | SCSEP Participant Handbook | 11/01/2011 |
|
Ombudsman Manual | Ombudsman Manual | 03/23/2011 |
|
AAA-1188A | Long Term Care Ombudsman Manual | 03/23/2011 |
|
AAA-1189A | Long Term Care Ombudsman Volunteer Manual | 03/23/2011 |
|
AAA-1100A-S | SCSEP Participant Handbook (Spanish) | 01/01/2011 |
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