You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
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GCI-1042A-S | Encuesta Familiar | 07/01/2020 |
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CCA-0229A-FY21 | Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2021 (English/Spanish) | 07/01/2020 |
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AAA-1356A | Adult Protective Services (APS) Investigation Process Map (English) | 07/01/2020 |
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WIO-1086A-S | Conectando a las Personas con los Trabajos | 07/01/2020 |
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RSA-1390A | Statement of Services Rendered | 07/01/2020 |
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POX-248 -Arabic | Americans with Disabilities Act Notice (Arabic) | 07/01/2020 |
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GCI-1085A-S | Lista de verificación para el examen de la visión | 07/01/2020 |
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CSE-1185A | Affidavit of Credible Person Identifying Affiant (English/Spanish) | 07/01/2020 |
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POX-248 - Swahili | Americans with Disabilities Act Notice (Swahili) | 07/01/2020 |
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SSBG Plan 2020-2021 | Social Services Block Grant Plan 2020-2021 | 07/01/2020 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1506A | Statement of No Income (English) | 05/01/2023 |
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FAA-0412A-SXLP | Change Report - Extra Large Print (Spanish) | 05/01/2023 |
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FAA-0053A-LP | Verification of New/Current Employment - Large Print (English) | 05/01/2023 |
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DDD-0211A | Home Modifications Service Referral and Request (English) | 05/01/2023 |
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CCA-1164A-S | Affidavit of Immunization Exemption - For Children in Care (Spanish) | 05/01/2023 |
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FAA-0155B | Determination of Primary Wage Earner (PWE) | 06/01/2023 |
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FAA-1821A | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application (English) | 06/01/2023 |
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FAA-0059A | Authority to Release Records | 06/01/2023 |
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WIO-1075A | Transfer of Funds Request Form | 06/01/2023 |
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FAA-1440A | Cash Assistance Benefit Limit Extension Request (English) | 06/01/2023 |
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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