You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
GCI-1039A | Consent to Obtain Information (English) | 05/01/2020 |
GCI-1039AS | Consent to Obtain Information (Spanish) | 05/01/2020 |
DES-1198A | Human Services Campus | 05/01/2020 |
AAA-1355A | APS Registry Employer Certification Form | 05/01/2020 |
CSE-1314A | Child Supplemental Page (English / Spanish) | 06/01/2020 |
ESA-1060D | Reentry Workforce Services | 06/01/2020 |
GCI-1020AS | Authorization to Disclose Protected Health Information (Spanish) | 06/01/2020 |
LCR-1053A | Renewal Application Worksheet (English) | 06/01/2020 |
GCI-1084A | Hearing Screening Tracking (English) | 06/01/2020 |
GCI-1084A-S | Hearing Screening Tracking (Spanish) | 06/01/2020 |
Number | Document Name | Effective Date |
---|---|---|
FAA-1724A | Application Signature Pages (English) | 07/01/2023 |
FAA-1410A-XLP | Grant Diversion Script and Applicant Agreement - Extra Large Print (English) | 07/01/2023 |
FAA-1410A-SXLP | Grant Diversion Script and Applicant Agreement - Extra Large Print (Spanish) | 07/01/2023 |
LCR-1028A | Agency Roster of Employees (English) | 07/01/2023 |
PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
CCA-1198A | Acknowledgement of Receipt and Understanding | 07/01/2023 |
FAA-1415A-SLP | Illegal Drug Use Statement - Large Print (Spanish) | 07/01/2023 |
CCA-1190A | Tribal New Child Care Referral | 07/01/2023 |
DDD-1783A | Habilitation Outcome Strategies (English) | 07/01/2023 |
FAA-0620D | Supplemental Pages for the Treatment Center Monthly Roster | 07/01/2023 |
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