You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1847A-LP | Electronic Benefit Theft Replacement Request Form - Large Print (English) | 10/01/2023 |
|
RRP-1015A | Statement of Understanding | 10/01/2023 |
|
DDD-0195B | DDD Member Rights and Responsibilities (English) | 10/01/2023 |
|
FAA-1847A-SLP | Electronic Benefit Theft Replacement Request Form - Large Print (Spanish) | 10/01/2023 |
|
AAA-1418A | Family Caregiver Support Program Reporting Matrix | 10/01/2023 |
|
DDD-2217A | Business Automobile Liability Waiver | 10/01/2023 |
|
FAA-1847A-XLP | Electronic Benefit Theft Replacement Request Form - Extra Large Print (English) | 10/01/2023 |
|
CCA-0229A-FY24 | Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2024 (English/Spanish) | 10/01/2023 |
|
FAA-1847A-SXLP | Electronic Benefit Theft Replacement Request Form - Extra Large Print (Spanish) | 10/01/2023 |
|
UB-106A | Weekly Claim for Unemployment Insurance (UI) Benefits (English) | 10/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
EAP-1007A-S | Declaración del Solicitante de No Tener Ingresos | 04/01/2023 |
|
FAA-1004A-LP | Designation of EBT Alternate Card Holder - Large Print (English) | 04/01/2023 |
|
DDD-1673A | Agency with Choice (AWC) Provider Training Request (English) | 04/01/2023 |
|
UIB-1263A | Request for Overpayment Waiver (English) | 04/01/2023 |
|
UIB-1263A-S | Request for Overpayment Waiver (Spanish) | 04/01/2023 |
|
LCR-1051A | Permission for Transfer of Record | 04/01/2023 |
|
LCR-1051A-S | Permiso Para Transferir el Archivo | 04/01/2023 |
|
CCA-1175A-S | Landlord Permission to Provide Family Child Care Service (Spanish) | 04/01/2023 |
|
DDD-1693A | Prevention and Support New Instructor Clinic Packet (English) | 04/01/2023 |
|
EAP-1007A | Applicant Statement of No Income | 04/01/2023 |
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