You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-1512A-S | Reconocimiento de Publicaciones e Información | 08/01/2023 |
|
DDD-2116A-S | Community Resource Guide (Spanish) | 08/01/2023 |
|
CCA-1303A | Instructions for Central Registry Submission (Eng/Spa) | 08/01/2023 |
|
APS-1032A | Authorization to Release Non-HIPAA Information Form | 08/01/2023 |
|
J-119 | Data Sharing Request/Agreement (Single Division) (English) | 08/01/2023 |
|
DDD-1512A-LP | Acknowledgement of Publications/Information (Large Print) | 08/01/2023 |
|
DDD-1426A | Request for Incontinence Briefs for Members Ages 3 and Above (English) | 08/01/2023 |
|
DDD-1512A-SLP | Reconocimiento de Publicaciones e Información (Letra Grande) | 08/01/2023 |
|
ADDPC-2230A-S | Pathways to the Future: ABLE (Spanish) | 08/01/2023 |
|
DDD-2234A | DDD Eligibility for Children Ages 3 to 6 Years (English/Spanish) | 08/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger | 05/01/2023 |
|
FAA-1004A-SLP | Designation of EBT Alternate Card Holder - Large Print (Spanish) | 05/01/2023 |
|
FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
|
FAA-0412A-SLP | Change Report - Large Print (Spanish) | 05/01/2023 |
|
FAA-1366A | Eligibility Requirements | 05/01/2023 |
|
CCA-1163A-S | Afidávit de Exención de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores | 05/01/2023 |
|
FAA-1004A-SXLP | Designation of EBT Alternate Card Holder - Extra Large Print (Spanish) | 05/01/2023 |
|
FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
|
FAA-1765A | Authority to Release Information | 05/01/2023 |
|
DDD-1622A | Home Modification Requests Support Coordinator’s (SC) Checklist (English) | 05/01/2023 |
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