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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FAA-0412A-S | Change Report (Spanish) | 05/01/2023 |
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GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
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FAA-0053A-XLP | Verification of New/Current Employment - Extra Large Print (English) | 05/01/2023 |
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FAA-1249A | Verification of Disability | 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-1765A-S | Autoridad para Divulgar Información | 05/01/2023 |
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FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 05/01/2023 |
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DDD-1622A | Home Modification Requests Support Coordinator’s (SC) Checklist (English) | 05/01/2023 |
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FAA-0412A-XLP | Change Report - Extra Large Print (English) | 05/01/2023 |
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FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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CSE-1178A | Child Support Modification Packet (English) | 05/01/2022 |
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UB-195-SFF | Affidavit as to Forged Endorsement (Spanish) | 05/01/2022 |
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WIO-1160A | WIOA Title I-B Adult Worker Program Eligibility Checklist (English) | 05/01/2022 |
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CSE-1178A-S | Child Support Modification Packet (Spanish) | 05/01/2022 |
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WIO-1160B | WIOA Title I-B Dislocated Worker Program Eligibility Checklist (English) | 05/01/2022 |
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WIO-1160C | WIOA Title I-B Youth Program Eligibility Checklist (English) | 05/01/2022 |
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CCA-1211A-S | Request for Search of Background Checks (Spanish) | 05/01/2022 |
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DDD-2039A | HCBS Member Needs Assessment | 05/01/2022 |
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DDD-2039A-S | HCBS Member Needs Assessment (Spanish) | 05/01/2022 |
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DDD-2039A-LP | HCBS Member Needs Assessment (Large Print) | 05/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
Ombudsman Manual | Ombudsman Manual | 03/23/2011 |
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AAA-1189A | Long Term Care Ombudsman Volunteer Manual | 03/23/2011 |
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AAA-1100A-S | SCSEP Participant Handbook (Spanish) | 01/01/2011 |
|
Register Data Security | Register for Basic Data Security | 09/27/2007 |
|
AAA-1075A | Assisted Living Residents Rights (English) | 07/01/2005 |
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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