You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name |
Effective Date |
---|---|---|---|
|
DDD-1403F | Job Search Agreement - Individual Supported Employment Services (English) | 05/01/2019 |
|
DDD-2010A | Out-of-Network Claims Submission Guide | 05/01/2019 |
|
CCA-1264A | Application Completeness Review Checklist | 05/01/2019 |
|
SNA-1046A | Monthly Work Activity Report | 05/01/2019 |
|
SNA-1046A-S | Informe Mensual de Actividades Laborales (Monthly Work Activity Report) | 05/01/2019 |
|
AAA-1324A | Senior Medicare Patrol (SMP) Fraud Alert - Genetic Testing | 05/01/2019 |
|
Statistical Bulletin March 2019 | Statistical Bulletin March 2019 | 05/03/2019 |
|
30th Month Feb 2019 | 30th Month Financial Report FY 2019 through Feb 2019 | 05/13/2019 |
|
RSA-1367A | Appeal Rights | 06/01/2019 |
|
CCA-1259A-S | Formulario previo a la Solicitud de Proveedor de Cuidado de Niños Certificado por el DES | 06/01/2019 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-0525A | Application for Initial Eligibility Determination (English) | 11/01/2022 |
|
DDD-0097A | Pre-Service Provider Orientation (English) | 11/01/2022 |
|
CSE-1165A | Acknowledgment Tracking Form | 11/01/2022 |
|
CC-214-A | Relative Child Care Provider Rate Agreement | 11/01/2022 |
|
CCA-0229A-FY23 | Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2023 (English/Spanish) | 11/01/2022 |
|
DDD-0097A-S | Pre-Service Provider Orientation (Spanish) | 11/01/2022 |
|
CC-214-A-S | Acuerdo de Tarifa para Parientes Proveedores de Cuidado de Niños | 11/01/2022 |
|
DDD-1972A | Application for Eligibility Determination Packet (English) | 11/01/2022 |
|
CCA-1200A-S | About Me Questionnaire (Spanish) | 11/01/2022 |
|
CCA-1200A | About Me Questionnaire (English) | 11/01/2022 |
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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