| Account Annual/Final- AOC-E-506 | Aging and Adult Services, Guardianship, Guardianship Legal | Form | pdf | 300 KB | | aging-and-adult-services guardianship guardianship-legal | form |
| Administrative Letter 18-03 Important: Systematic Alien Verification for Entitlements (SAVE) Paperless Verification Processing | Aging and Adult Services, Special Assistance in Home Program | Administrative Letter | pdf | 186 KB | | aging-and-adult-services special-assistance-in-home-program | administrative-letter |
| Administrative Letter No. 09-07 – Economic Recovery Payment’s Effect on Special Assistance Adult Care Home (SA/ACH) and Special Assistance In-Home (SA/IH) Eligibility (Economic recovery payments were made only in 2009 and were no longer excluded as a resource after March 1, 2010) | Aging and Adult Services, Special Assistance | Administrative Letter | pdf | 16 KB | | aging-and-adult-services special-assistance | administrative-letter |
| Administrative Letter No. 13-07 – Instructions for Special Assistance In-Home Approvals for Individuals with Verified Supported Housing Slots | Aging and Adult Services, Special Assistance in Home Program | Administrative Letter | pdf | 101 KB | | aging-and-adult-services special-assistance-in-home-program | administrative-letter |
| Administrative Letter No. 13-11 – Electronic Benefit Issuance | Aging and Adult Services, Special Assistance | Administrative Letter | pdf | 98 KB | | aging-and-adult-services special-assistance | administrative-letter |
| Administrative Letter No. 13-11 – Electronic Benefit Issuance | Aging and Adult Services, Special Assistance in Home Program | Administrative Letter | pdf | 98 KB | | aging-and-adult-services special-assistance-in-home-program | administrative-letter |
| Administrative Letter No. 14-02 – Effect of 2014 Social Security Cost of Living Adjustment and New 2014 Federal Poverty Level on SA/IH Cases | Aging and Adult Services, Special Assistance in Home Program | Administrative Letter | pdf | 113 KB | | aging-and-adult-services special-assistance-in-home-program | administrative-letter |
| Administrative Letter No. 14-04, Revised Timeframe for Replacement of Special Assistance Checks | Aging and Adult Services, Special Assistance | Administrative Letter | pdf | 25 KB | | aging-and-adult-services special-assistance | administrative-letter |
| Administrative Letter No. 14-11 Addendum , Appropriations Act of 2014: Policy for Resources for SA IH | Aging and Adult Services, Special Assistance in Home Program | Administrative Letter | pdf | 24 KB | | aging-and-adult-services special-assistance-in-home-program | administrative-letter |
| Administrative Letter No. 14-11 Addendum, Appropriations Act of 2014: Policy for Resources for SA IH | Aging and Adult Services, Special Assistance | Administrative Letter | pdf | 24 KB | | aging-and-adult-services special-assistance | administrative-letter |
| Administrative Letter No. 14-11, Appropriations Act of 2014: Changes to the Special Assistance Program | Aging and Adult Services, Special Assistance | Administrative Letter | pdf | 20 KB | | aging-and-adult-services special-assistance | administrative-letter |
| Administrative Letter No. 14-13, Social Security Cost-of-Living Adjustment (COLA 2015) and VA Cost-of- Living Adjustment (COLA 2015) for Special Assistance (SA) in a Facility | Aging and Adult Services, Special Assistance | Administrative Letter | pdf | 60 KB | | aging-and-adult-services special-assistance | administrative-letter |
| Administrative Letter No. 15-07, Special Assistance Redeterminations/Recertifications Amended | Aging and Adult Services, Special Assistance | Administrative Letter | pdf | 39 KB | | aging-and-adult-services special-assistance | administrative-letter |
| Administrative Letter No. 17-03, Social Security Cost-of-Living Adjustment (COLA) and VA COLA for Special Assistance In-Home (SA_IH)Beneficiaries | Aging and Adult Services, Special Assistance | Administrative Letter | pdf | 31 KB | | aging-and-adult-services special-assistance | administrative-letter |
| Administrative Letter No. 17-03, Social Security Cost-of-Living Adjustment (COLA)and VA COLA for Special Assistance In-Home (SA-IH) Beneficiaries | Aging and Adult Services, Special Assistance in Home Program | Administrative Letter | pdf | 31 KB | | aging-and-adult-services special-assistance-in-home-program | administrative-letter |
| Administrative Letter No. 17-08, Social Security Cost-of-Living Adjustment (COLA 2018) and VA Cost-of-Living Adjustment (COLA 2018) for Special Assistance (SA) in a Facility | Aging and Adult Services, Special Assistance | Administrative Letter | pdf | 288 KB | | aging-and-adult-services special-assistance | administrative-letter |
| Administrative Letter No. 18-02 Social Security Cost-of-Living (COLA 2018) and Veteran’s Assistance (VA) Cost-of-Living Adjustment for Special Assistance In-Home (SA-IH) Beneficiaries | Aging and Adult Services, Special Assistance in Home Program | Administrative Letter | pdf | 112 KB | | aging-and-adult-services special-assistance-in-home-program | administrative-letter |
| Administrative Letter No. 18-08, Social Security Cost-of-Living Adjustment (COLA 2019) and VA Cost-of-Living Adjustment (COLA 2019 for Special Assistance (SA) in a Facility. | Aging and Adult Services, Special Assistance | Administrative Letter | pdf | 852 KB | | aging-and-adult-services special-assistance | administrative-letter |
| Administrative Letter No. 19-03, Social Security Cost-of-Living Adjustment (COLA 2019) and VA Cost-of-Living Adjustment for Special Assistance In-Home (SA-IH) Beneficiaries. | Aging and Adult Services, Special Assistance | Administrative Letter | pdf | 453 KB | | aging-and-adult-services special-assistance | administrative-letter |
| Administrative Letter No. 19-10, Social Security Cost-of-Living Adjustment (COLA 2020) and VA Cost-of-Living Adjustment for Special Assistance In-Home (SA-IH) Beneficiaries | Aging and Adult Services, Special Assistance | Administrative Letter | pdf | 32 KB | | aging-and-adult-services special-assistance | administrative-letter |
| Administrative Letter No. DAAS 16-12 COLA 2017 | Aging and Adult Services, Special Assistance | Administrative Letter | pdf | 39 KB | | aging-and-adult-services special-assistance | administrative-letter |
| Administrative Letter No. DAAS-07-10 – Social Security Administration Data Access | Aging and Adult Services, Special Assistance | Administrative Letter | pdf | 24 KB | | aging-and-adult-services special-assistance | administrative-letter |
| Administrative Letter No. DAAS-07-16 РVeteran’s Affairs Match | Aging and Adult Services, Special Assistance | Administrative Letter | pdf | 547 KB | | aging-and-adult-services special-assistance | administrative-letter |
| Administrative Letter No. DAAS-07-20 – Interstate Match | Aging and Adult Services, Special Assistance | Administrative Letter | pdf | 274 KB | | aging-and-adult-services special-assistance | administrative-letter |
| Administrative Letter No. DAAS-08-04 – Economic Stimulus Act Payments (Stimulus payments were received in 2008 only) | Aging and Adult Services, Special Assistance | Administrative Letter | pdf | 81 KB | | aging-and-adult-services special-assistance | administrative-letter |
| Administrative Letter No. DAAS-08-15 – Applying the 2009 Social Security Cost of Living Adjustment (COLA) Disregard to Special Assistance In-Home (SA/IH) Cases Only | Aging and Adult Services, Special Assistance in Home Program | Administrative Letter | pdf | 49 KB | | aging-and-adult-services special-assistance-in-home-program | administrative-letter |
| Adult Care Home Resident Discharge Team Procedures Manual | Aging and Adult Services | Manual | www | | | aging-and-adult-services | manual |
| Adult Protective Services Manual | Adult Protective Services, Aging and Adult Services | Manual | pdf | 1 MB | | adult-protective-services aging-and-adult-services | manual |
| Adult Protective Services Register (APS-R ) User’s Manual | Adult Protective Services, Aging and Adult Services | Manual | pdf | 291 KB | | adult-protective-services aging-and-adult-services | manual |
| Affidavit for Administrative Search and Inspection Warrant- AOC-CR-913M | Adult Protective Services, Aging and Adult Services, APS Legal | Form | pdf | | | adult-protective-services aging-and-adult-services aps-legal | form |
| Application for Letters of Guardianship (GOE, GOP, General, Limited) for an Incompetent Person- AOC-E-206 | Aging and Adult Services, Guardianship, Guardianship Legal | Form | pdf | | | aging-and-adult-services guardianship guardianship-legal | form |
| APS Monitoring Tool | Adult Protective Services, Aging and Adult Services | Form | xls | 786 KB | | adult-protective-services aging-and-adult-services | form |
| APS Monitoring Tool Instructions | Adult Protective Services, Aging and Adult Services | Form | pdf | 236 KB | | adult-protective-services aging-and-adult-services | form |
| AS Continuous Quality Improvement Specialist (CQI) Regional County Coverage | Aging and Adult Services | Manual | docx | 158 KB | | aging-and-adult-services | manual |
| Certificate of Service (Adult Protective Services)- AOC-CV-771 | Adult Protective Services, Aging and Adult Services, APS Legal | Form | pdf | | | adult-protective-services aging-and-adult-services aps-legal | form |
| Certificate of Service- Incompetency Proceeding- AOC-SP-207 | Aging and Adult Services, Guardianship, Guardianship Legal | Form | pdf | | | aging-and-adult-services guardianship guardianship-legal | form |
| Certification to Financial Institution as required by G.S. 53B-5- AOC-CV-779 | Adult Protective Services, Aging and Adult Services, APS Legal | Form | pdf | | | adult-protective-services aging-and-adult-services aps-legal | form |
| CHANGE NO: 01-06, VERIFICATION OF CITIZENSHIP AND IDENTITY FOR SPECIAL ASSISTANCE | Aging and Adult Services, Special Assistance | Change Notice | pdf | 48 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE NO: 01-07, SPECIAL ASSISTANCE ADULT PROGRAM MANUAL UPDATES | Aging and Adult Services, Special Assistance | Change Notice | pdf | 48 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE NO: 02-02, SPECIAL ASSISTANCE PROGRAM MANUAL UPDATE | Aging and Adult Services, Special Assistance | Change Notice | pdf | 23 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE NO: 02-03, SPECIAL ASSISTANCE PROGRAM MANUAL UPDATES | Aging and Adult Services, Special Assistance | Change Notice | doc | 34 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE NO: 02-07, SPECIAL ASSISTANCE ADULT PROGRAM MANUAL UPDATES | Aging and Adult Services, Special Assistance | Change Notice | pdf | 26 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE NO: 03-02, SPECIAL ASSISTANCE PROGRAM MANUAL UPDATES | Aging and Adult Services, Special Assistance | Change Notice | pdf | 15 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE NO: 04-02, SPECIAL ASSISTANCE PROGRAM MANUAL UPDATES | Aging and Adult Services, Special Assistance | Change Notice | pdf | 15 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE NO: 05-02, SPECIAL ASSISTANCE PROGRAM MANUAL UPDATES | Aging and Adult Services, Special Assistance | Change Notice | pdf | 11 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE NO: 06-02, SPECIAL ASSISTANCE PROGRAM MANUAL UPDATES | Aging and Adult Services, Special Assistance | Change Notice | pdf | 9 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE NO: 07-02, SPECIAL ASSISTANCE PROGRAM MANUAL UPDATES | Aging and Adult Services, Special Assistance | Change Notice | pdf | 10 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE NO. 01-04, SPECIAL ASSISTANCE PROGRAM MANUAL UPDATES | Aging and Adult Services, Special Assistance | Change Notice | pdf | 29 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE NO. 01-08, SPECIAL ASSISTANCE FOR ADULTS PROGRAM MANUAL UPDATES | Aging and Adult Services, Special Assistance | Change Notice | pdf | 46 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE NO. 01-09, SPECIAL ASSISTANCE FOR ADULTS (SA/ACH) PROGRAM MANUAL UPDATES | Aging and Adult Services, Special Assistance | Change Notice | pdf | 36 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE NO. 01-10, SPECIAL ASSISTANCE FOR ADULTS PROGRAM MANUAL UPDATES | Aging and Adult Services, Special Assistance | Change Notice | pdf | 46 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE NO. 01-11, FIGURE CHANGE TO FORM AND CLARIFICATIONS | Aging and Adult Services, Special Assistance | Change Notice | pdf | 36 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE No. 01-12, Federal Poverty Guidelines | Aging and Adult Services, Special Assistance in Home Program | Change Notice | pdf | 26 KB | | aging-and-adult-services special-assistance-in-home-program | change-notice |
| CHANGE NO. 01-13, SSI 2013 FEDERAL BENEFIT RATE (FBR) UPDATES IN THE SPECIAL ASSISTANCE MANUAL | Aging and Adult Services, Special Assistance | Change Notice | pdf | 31 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE NO. 01-15, SA MANUAL | Aging and Adult Services, Special Assistance | Change Notice | pdf | 21 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE NO. 01-2017, SA ELIGIBILITY MANUAL AND FORM REVISIONS | Aging and Adult Services, Special Assistance | Change Notice | pdf | 20 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE No. 02-06 | Aging and Adult Services, Special Assistance in Home Program | Change Notice | pdf | 42 KB | | aging-and-adult-services special-assistance-in-home-program | change-notice |
| CHANGE NO. 02-08, SPECIAL ASSISTANCE FOR ADULTS PROGRAM MANUAL UPDATES | Aging and Adult Services, Special Assistance | Change Notice | pdf | 29 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE NO. 02-09, SPECIAL ASSISTANCE FOR ADULTS PROGRAM MANUAL UPDATES – RESOURCES | Aging and Adult Services, Special Assistance | Change Notice | pdf | 37 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE No. 02-10, Special Assistance for Adults In-Home (SA/IH) Program Manual Updates | Aging and Adult Services, Special Assistance in Home Program | Change Notice | pdf | 27 KB | | aging-and-adult-services special-assistance-in-home-program | change-notice |
| CHANGE No. 02-11, Federal Poverty Guidelines | Aging and Adult Services, Special Assistance in Home Program | Change Notice | pdf | 27 KB | | aging-and-adult-services special-assistance-in-home-program | change-notice |
| CHANGE NO. 02-12, CONVERSION OF FIGURES TO FORMS | Aging and Adult Services, Special Assistance | Change Notice | pdf | 40 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE No. 02-13, Federal Poverty Level UPDATE TO SA-IH MANUAL | Aging and Adult Services, Special Assistance in Home Program | Change Notice | doc | 32 KB | | aging-and-adult-services special-assistance-in-home-program | change-notice |
| CHANGE NO. 02-14, SPECIAL ASSISTANCE TO THE CERTAIN DISABLED (SCD) | Aging and Adult Services, Special Assistance | Change Notice | pdf | 20 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE No. 02-2017: State/County Special Assistance In-Home (Eligibility) | Aging and Adult Services, Special Assistance in Home Program | Change Notice | pdf | 19 KB | | aging-and-adult-services special-assistance-in-home-program | change-notice |
| CHANGE NO. 03-08, SPECIAL ASSISTANCE FOR ADULTS PROGRAM MANUAL UPDATES | Aging and Adult Services, Special Assistance | Change Notice | pdf | 54 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE NO. 03-10, SPECIAL ASSISTANCE FOR ADULTS PROGRAM MANUAL UPDATES | Aging and Adult Services, Special Assistance | Change Notice | pdf | 27 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE No. 03-11 Removal Of SA-5600 and SA-5700 | Aging and Adult Services, Special Assistance in Home Program | Change Notice | pdf | 22 KB | | aging-and-adult-services special-assistance-in-home-program | change-notice |
| CHANGE No. 03-12: Changes in the SA/IH PROGRAM | Aging and Adult Services, Special Assistance in Home Program | Change Notice | pdf | 39 KB | | aging-and-adult-services special-assistance-in-home-program | change-notice |
| CHANGE NO. 03-14, RESIDENCY REQUIREMENT CHANGES | Aging and Adult Services, Special Assistance | Change Notice | pdf | 53 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE NO. 03-2017, SA ELIGIBILITY REDETERMINATIONS | Aging and Adult Services, Special Assistance | Change Notice | pdf | 86 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE No. 04-08, Special Assistance In-Home Program Manual Updates | Aging and Adult Services, Special Assistance in Home Program | Change Notice | pdf | 33 KB | | aging-and-adult-services special-assistance-in-home-program | change-notice |
| CHANGE NO. 04-10, SPECIAL ASSISTANCE PROGRAM MANUAL UPDATES | Aging and Adult Services, Special Assistance | Change Notice | pdf | 70 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE NO. 04-11, SA-3110 FIGURES TO FORMS | Aging and Adult Services, Special Assistance | Change Notice | pdf | 29 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE NO. 04-2017, SA APPLICATION PROCESS | Aging and Adult Services, Special Assistance | Change Notice | pdf | 127 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE NO. 05-10, SPECIAL REVIEW CODES AND OVERPAYMENT RECOUPMENT ADJUSTMENT REQUESTS | Aging and Adult Services, Special Assistance | Change Notice | pdf | 36 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE NO. 05-11, SSI 2012 FEDERAL BENEFIT RATE (FBR) UPDATES IN THE SPECIAL ASSISTANCE MANUAL | Aging and Adult Services, Special Assistance | Change Notice | pdf | 30 KB | | aging-and-adult-services special-assistance | change-notice |
| CHANGE No. 06-10, Special Review Codes | Aging and Adult Services, Special Assistance in Home Program | Change Notice | pdf | 38 KB | | aging-and-adult-services special-assistance-in-home-program | change-notice |
| CHANGE No. 06-11, SSI 2012 Federal Benefit Rate (FBR) Updates in the Special Assistance In-Home Manual | Aging and Adult Services, Special Assistance in Home Program | Change Notice | pdf | 25 KB | | aging-and-adult-services special-assistance-in-home-program | change-notice |
| CHANGE No. 1-14: 2014 FPL and IEM | Aging and Adult Services, Special Assistance in Home Program | Change Notice | pdf | 24 KB | | aging-and-adult-services special-assistance-in-home-program | change-notice |
| Consumer Contributions Policy and Procedures | Aging and Adult Services | Policy | www | | | aging-and-adult-services | policy |
| Continuous Quality Improvement (CQI) SA County Coverage with Map | Aging and Adult Services | Information | pdf | 250 KB | | aging-and-adult-services | information |
| Current Tracking Spreadsheet 8.28.21 | Aging and Adult Services, COVID-19 Tracking | Tool | xlsx | 62 KB | | aging-and-adult-services covid-19-tracking | tool |
| DAAS 0020 Guardianship Status Form Handwritten | Aging and Adult Services, Guardianship | Form | docx | 50 KB | | aging-and-adult-services guardianship | form |
| DAAS 0020 Guardianship Status Report Electronic | Aging and Adult Services, Guardianship | Form | docx | 56 KB | | aging-and-adult-services guardianship | form |
| DAAS 20201 Special Assistance Second Party Review Form APPLICATIONS | Aging and Adult Services, Special Assistance | Form | docx | 34 KB | | aging-and-adult-services special-assistance | form |
| DAAS 20202 Special Assistance Second Party Review Form RECERTIFICATIONS | Aging and Adult Services, Special Assistance | Form | docx | 32 KB | | aging-and-adult-services special-assistance | form |
| DAAS 20221 Special Assistance Recertification Budget Sheet | Aging and Adult Services, Special Assistance | Form | pdf | 563 KB | | aging-and-adult-services special-assistance | form |
| DAAS 6220 Adult Services Functional Assessment | Aging and Adult Services, Guardianship | Form | pdf | 1 MB | | aging-and-adult-services guardianship | form |
| DAAS ADMINISTRATIVE LETTER NO: 13-02 DMA ADMINISTRATIVE LETTER NO: 01-13, MEDICAID TERMINATION FOR ALL SPECIAL ASSISTANCE BENEFICIARIES IN AN INSTITUTION FOR MENTAL DISEASE (IMD) | Aging and Adult Services, Special Assistance | Administrative Letter | pdf | 230 KB | | aging-and-adult-services special-assistance | administrative-letter |
| DAAS ADMINISTRATIVE LETTER NO. 09-24, CITIZENSHIP DOCUMENTATION, DMA ADMINISTRATIVE LETTER NO. 08-09, ECONOMIC AND FAMILY SERVICES EFS_WF_AL-11-2009 | Aging and Adult Services, Special Assistance | Administrative Letter | pdf | 426 KB | | aging-and-adult-services special-assistance | administrative-letter |
| DAAS Adult Services Training Catalogue SFY 22/23 | Aging and Adult Services | Training | pdf | 2 MB | | aging-and-adult-services | training |
| DAAS Guardianship Manual | Aging and Adult Services, Guardianship | Manual | pdf | 662 KB | | aging-and-adult-services guardianship | manual |
| DAAS Technical Assistance Form | Aging and Adult Services | Form | aspx | | | aging-and-adult-services | form |
| DAAS-0001 Adult Protective Services Intake | Adult Protective Services, Aging and Adult Services, APS Electronic | Form | docx | 73 KB | | adult-protective-services aging-and-adult-services aps-electronic | form |
| DAAS-0001 Adult Protective Services Intake | Adult Protective Services, Aging and Adult Services, APS Handwritten | Form | docx | 60 KB | | adult-protective-services aging-and-adult-services aps-handwritten | form |
| DAAS-0002 Notice to Reporter: Initial Notice | Adult Protective Services, Aging and Adult Services, APS Electronic | Form | docx | 29 KB | | adult-protective-services aging-and-adult-services aps-electronic | form |
| DAAS-0003 Notice to Administrator: Completion of Evaluation | Adult Protective Services, Aging and Adult Services, APS Electronic | Form | docx | 31 KB | | adult-protective-services aging-and-adult-services aps-electronic | form |
| DAAS-0004 Notice to Reporter: Completion of Evaluation | Adult Protective Services, Aging and Adult Services, APS Electronic | Form | docx | 28 KB | | adult-protective-services aging-and-adult-services aps-electronic | form |
| DAAS-0005 Community Evaluation | Adult Protective Services, Aging and Adult Services, APS Electronic | Form | docx | 123 KB | | adult-protective-services aging-and-adult-services aps-electronic | form |
| DAAS-0005 Community Evaluation | Adult Protective Services, Aging and Adult Services, APS Handwritten | Form | docx | 93 KB | | adult-protective-services aging-and-adult-services aps-handwritten | form |
| DAAS-0006 Facility Evaluation | Adult Protective Services, Aging and Adult Services, APS Electronic | Form | docx | 132 KB | | adult-protective-services aging-and-adult-services aps-electronic | form |
| DAAS-0006 Facility Evaluation | Adult Protective Services, Aging and Adult Services, APS Handwritten | Form | docx | 96 KB | | adult-protective-services aging-and-adult-services aps-handwritten | form |
| DAAS-0007 Diligent Efforts to Locate Adult | Adult Protective Services, Aging and Adult Services, APS Electronic | Form | docx | 39 KB | | adult-protective-services aging-and-adult-services aps-electronic | form |
| DAAS-0007 Diligent Efforts to Locate Adult | Adult Protective Services, Aging and Adult Services, APS Handwritten | Form | docx | 28 KB | | adult-protective-services aging-and-adult-services aps-handwritten | form |
| DAAS-0008 Notice to the District Attorney and/or Law Enforcement: Initial Notice | Adult Protective Services, Aging and Adult Services, APS Electronic | Form | docx | 34 KB | | adult-protective-services aging-and-adult-services aps-electronic | form |
| DAAS-0009 The Written Report of Adult Protective Services Evaluation | Adult Protective Services, Aging and Adult Services, APS Electronic | Form | docx | 47 KB | | adult-protective-services aging-and-adult-services aps-electronic | form |
| DAAS-0009 The Written Report of Adult Protective Services Evaluation | Adult Protective Services, Aging and Adult Services, APS Handwritten | Form | docx | 34 KB | | adult-protective-services aging-and-adult-services aps-handwritten | form |
| DAAS-0010 Notice to Financial Customer | Adult Protective Services, Aging and Adult Services, APS Electronic | Form | docx | 32 KB | | adult-protective-services aging-and-adult-services aps-electronic | form |
| DAAS-0011 Adult and Family Service Plan | Aging and Adult Services, Guardianship | Form | pdf | 40 KB | | aging-and-adult-services guardianship | form |
| DAAS-0011 Service Plan | Adult Protective Services, Aging and Adult Services, APS Electronic | Form | docx | 47 KB | | adult-protective-services aging-and-adult-services aps-electronic | form |
| DAAS-0011 Service Plan | Adult Protective Services, Aging and Adult Services, APS Handwritten | Form | docx | 40 KB | | adult-protective-services aging-and-adult-services aps-handwritten | form |
| DAAS-0011 Service Plan | Aging and Adult Services, General Adult Services | Form | docx | 48 KB | | aging-and-adult-services general-adult-services | form |
| DAAS-0011 Service Plan | Aging and Adult Services, General Adult Services | Form | docx | 41 KB | | aging-and-adult-services general-adult-services | form |
| DAAS-0013 Determination of Ability to Consent to Protective Services | Adult Protective Services, Aging and Adult Services, APS Electronic | Form | docx | 32 KB | | adult-protective-services aging-and-adult-services aps-electronic | form |
| DAAS-0013 Determination of Ability to Consent to Protective Services | Adult Protective Services, Aging and Adult Services, APS Handwritten | Form | docx | 31 KB | | adult-protective-services aging-and-adult-services aps-handwritten | form |
| DAAS-0014 Notice of Request for Records for Adult Protective Services Evaluation | Adult Protective Services, Aging and Adult Services, APS Electronic | Form | docx | 24 KB | | adult-protective-services aging-and-adult-services aps-electronic | form |
| DAAS-0015 Consent for Financial Records | Adult Protective Services, Aging and Adult Services, APS Handwritten | Form | docx | 36 KB | | adult-protective-services aging-and-adult-services aps-handwritten | form |
| DAAS-0016 Consent for Release of Information | Adult Protective Services, Aging and Adult Services, APS Handwritten | Form | docx | 32 KB | | adult-protective-services aging-and-adult-services aps-handwritten | form |
| DAAS-0031 SAIH Program Interagency Referral Form | Aging and Adult Services, Special Assistance | Form | pdf | 217 KB | | aging-and-adult-services special-assistance | form |
| DAAS-0032 SAIH Signature Attestation Form | Aging and Adult Services, Special Assistance | Form | pdf | 162 KB | | aging-and-adult-services special-assistance | form |
| DAAS-0040 SA Overpayment Tracking Tool | Aging and Adult Services, Special Assistance | Form | xlsx | 44 KB | | aging-and-adult-services special-assistance | form |
| DAAS-3000 Appointment Follow-up Letter Regarding SA Assistance Request | Aging and Adult Services, Special Assistance | Form | pdf | 129 KB | | aging-and-adult-services special-assistance | form |
| DAAS-3001 Special Assistance Notice of County of Residence Reassignment/Transfer | Aging and Adult Services, Special Assistance | Form | pdf | 12 KB | | aging-and-adult-services special-assistance | form |
| DAAS-3001sp Notificación sobre reasignación o transferencia | Aging and Adult Services, Special Assistance | Form | pdf | 40 KB | | aging-and-adult-services special-assistance | form |
| DAAS-3002 Agreement to Sell Property | Aging and Adult Services, Special Assistance | Form | pdf | 17 KB | | aging-and-adult-services special-assistance | form |
| DAAS-3002sp Compromiso de venta propiedad | Aging and Adult Services, Special Assistance | Form | pdf | 304 KB | | aging-and-adult-services special-assistance | form |
| DAAS-3003 Important Information About Your Special Assistance and Your Resources | Aging and Adult Services, Special Assistance | Form | pdf | 17 KB | | aging-and-adult-services special-assistance | form |
| DAAS-3004 Referral to SSA for Waiver or Reduction of Overpayment Recoupment | Aging and Adult Services, Special Assistance | Form | pdf | 16 KB | | aging-and-adult-services special-assistance | form |
| DAAS-3005 Documentation Regarding Continuation of Special Assistance When the LOC Is Upgraded, But No Bed Is Available | Aging and Adult Services, Special Assistance | Form | pdf | 57 KB | | aging-and-adult-services special-assistance | form |
| DAAS-3006 Medical Care Special / Medical Expense Form | Aging and Adult Services, Special Assistance | Form | pdf | 17 KB | | aging-and-adult-services special-assistance | form |
| DAAS-5026 Report to Adult Protective Services Register | Adult Protective Services, Aging and Adult Services, APS Electronic | Form | xlsx | 78 KB | | adult-protective-services aging-and-adult-services aps-electronic | form |
| DAAS-5337-A Request for Patient Information for Veteran | Adult Protective Services, Aging and Adult Services, APS Electronic | Form | docx | 903 KB | | adult-protective-services aging-and-adult-services aps-electronic | form |
| DAAS-6218 Electronic Adult Services Intake Inquiry | Aging and Adult Services, General Adult Services | Form | docx | 40 KB | | aging-and-adult-services general-adult-services | form |
| DAAS-6218 HW Adult Services Intake Inquiry | Aging and Adult Services, General Adult Services | Form | docx | 31 KB | | aging-and-adult-services general-adult-services | form |
| DAAS-6219 Electronic Adult Services Face Sheet | Aging and Adult Services, General Adult Services | Form | docx | 31 KB | | aging-and-adult-services general-adult-services | form |
| DAAS-6219 HW Adult Services Face Sheet | Aging and Adult Services, General Adult Services | Form | docx | 24 KB | | aging-and-adult-services general-adult-services | form |
| DAAS-6220 Electronic Adult Services Annual Functional Assessment | Aging and Adult Services, General Adult Services | Form | doc | 323 KB | | aging-and-adult-services general-adult-services | form |
| DAAS-6220 HW Adult Services Annual Functional Assessment | Aging and Adult Services, General Adult Services | Form | doc | 217 KB | | aging-and-adult-services general-adult-services | form |
| DAAS-6222 Electronic Adult Services Contact Activity Log | Aging and Adult Services, General Adult Services | Form | docx | 26 KB | | aging-and-adult-services general-adult-services | form |
| DAAS-6222 HW Adult Services Contact Activity Log | Aging and Adult Services, General Adult Services | Form | docx | 17 KB | | aging-and-adult-services general-adult-services | form |
| DAAS-6223 Adult Services Interim or Quarterly Client Review | Aging and Adult Services, Guardianship | Form | pdf | 529 KB | | aging-and-adult-services guardianship | form |
| DAAS-6223 Electronic Interim or Quarterly Review | Aging and Adult Services, General Adult Services | Form | docx | 30 KB | | aging-and-adult-services general-adult-services | form |
| DAAS-6223 HW Interim or Quarterly Review | Aging and Adult Services, General Adult Services | Form | docx | 22 KB | | aging-and-adult-services general-adult-services | form |
| DAAS-6224 Adult Services Annual Assessment | Aging and Adult Services, Guardianship | Form | pdf | 1,003 KB | | aging-and-adult-services guardianship | form |
| DAAS-6224 Electronic Adult Services Annual Assessment | Aging and Adult Services, General Adult Services | Form | docx | 62 KB | | aging-and-adult-services general-adult-services | form |
| DAAS-6224 HW Adult Services Annual Assessment | Aging and Adult Services, General Adult Services | Form | docx | 55 KB | | aging-and-adult-services general-adult-services | form |
| DAAS-6225 Adult Services Case Closing Transfer Summary | Aging and Adult Services, Guardianship | Form | pdf | 49 KB | | aging-and-adult-services guardianship | form |
| DAAS-6225 Electronic Case Closing | Aging and Adult Services, General Adult Services | Form | docx | 26 KB | | aging-and-adult-services general-adult-services | form |
| DAAS-6225 HW Case Closing Summary | Aging and Adult Services, General Adult Services | Form | docx | 18 KB | | aging-and-adult-services general-adult-services | form |
| DAAS-7016 Request for Bond Coverage/Removal from Bond | Aging and Adult Services, Guardianship | Form | xlsx | 52 KB | | aging-and-adult-services guardianship | form |
| DAAS-7016a Notification of Appointment of Corporate Guardian | Aging and Adult Services, Guardianship | Form | pdf | 129 KB | | aging-and-adult-services guardianship | form |
| DAAS-7016a Notification of Appointment of Corporate Guardian | Aging and Adult Services, Guardianship | Form | xlsx | 34 KB | | aging-and-adult-services guardianship | form |
| DAAS-8190 SSI/Non-SSI Application Workbook | Aging and Adult Services, Special Assistance | Form | pdf | 1 MB | | aging-and-adult-services special-assistance | form |
| DAAS-8190A SSI/Non-SSI Application Workbook Appendix A | Aging and Adult Services, Special Assistance | Form | pdf | 162 KB | | aging-and-adult-services special-assistance | form |
| DAAS-8191 Special Assistance Re-enrollment Information Notice | Aging and Adult Services, Special Assistance | Form | pdf | 97 KB | | aging-and-adult-services special-assistance | form |
| DMA ADMINISTRATIVE LETTER NO: 03-10, DSS ADMINISTRATIVE LETTER PERFORMANCE MANAGEMENT/REPORTING AND EVALUATION MANAGEMENT PM-REM-AL-02-10, DAAS ADMINISTRATIVE LETTER NO: 10-07 | Aging and Adult Services, Special Assistance | Administrative Letter | pdf | 32 KB | | aging-and-adult-services special-assistance | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 07-10, DSS ADMINISTRATIVE LETTER PERFORMANCE MANAGEMENT/REPORTING AND EVALUATION MANAGEMENT PM-REM-AL-07-10, DAAS ADMINISTRATIVE LETTER NO: 10-14, AUTHORIZED REPRESENTATIVE SCREEN | Aging and Adult Services, Special Assistance | Administrative Letter | pdf | 9 MB | | aging-and-adult-services special-assistance | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 08-09, DAAS ADMINISTRATIVE LETTER NO. 09-24 ECONOMIC AND FAMILY SERVICES EFS_WF_AL-11-2009 ADDENDUM 1, (CITIZENSHIP DOCUMENTATION) | Aging and Adult Services, Special Assistance | Administrative Letter | pdf | 46 KB | | aging-and-adult-services special-assistance | administrative-letter |
| DSS ADMINISTRATIVE LETTER PERFORMANCE MANAGEMENT/REPORTING AND EVALUATION MANAGEMENT PM-REM-AL-06-10, DMA ADMINISTRATIVE LETTER NO: 05-10, DAAS ADMINISTRATIVE LETTER NO: 10-11 | Aging and Adult Services, Special Assistance | Administrative Letter | pdf | 223 KB | | aging-and-adult-services special-assistance | administrative-letter |
| DSS_5027_SIS_Client_Entry_Form | Aging and Adult Services, General Adult Services | Form | pdf | 1,014 KB | | aging-and-adult-services general-adult-services | form |
| EIS 1061 XPTR Report Distribution System | Aging and Adult Services, SA Eligibility Information System (EIS), Special Assistance | Manual | pdf | 148 KB | | aging-and-adult-services sa-eligibility-information-system-eis special-assistance | manual |
| EIS 1105 State Data Exchange (SDX) | Aging and Adult Services, SA Eligibility Information System (EIS), Special Assistance | Manual | pdf | 293 KB | | aging-and-adult-services sa-eligibility-information-system-eis special-assistance | manual |
| EIS 4000 Appendix D – Special Assistance Codes | Aging and Adult Services, SA Eligibility Information System (EIS), Special Assistance | Manual | pdf | 93 KB | | aging-and-adult-services sa-eligibility-information-system-eis special-assistance | manual |
| Estates Action Cover Sheet- AOC-E-650 | Aging and Adult Services, Guardianship, Guardianship Legal | Form | pdf | | | aging-and-adult-services guardianship guardianship-legal | form |
| Guardianship Capacity Questionnaire- AOC-SP-208 | Aging and Adult Services, Guardianship, Guardianship Legal | Form | pdf | | | aging-and-adult-services guardianship guardianship-legal | form |
| Guardianship Status Report Instructions | Aging and Adult Services, Guardianship | Form | pdf | 146 KB | | aging-and-adult-services guardianship | form |
| Home and Community Care Block Grant Manual | Aging and Adult Services | Manual | www | | | aging-and-adult-services | manual |
| Housing and Home Improvement Policies and Procedures | Aging and Adult Services | Policy | www | | | aging-and-adult-services | policy |
| Inventory for Guardianship of Estate0 AOC-E-510 | Aging and Adult Services, Guardianship, Guardianship Legal | Form | pdf | | | aging-and-adult-services guardianship guardianship-legal | form |
| Letters of Appointment General Guardian- AOC-E-413 | Aging and Adult Services, Guardianship, Guardianship Legal | Form | pdf | | | aging-and-adult-services guardianship guardianship-legal | form |
| Letters of Appointment Limited General Guardian- AOC-E-419 | Aging and Adult Services, Guardianship, Guardianship Legal | Form | pdf | | | aging-and-adult-services guardianship guardianship-legal | form |
| Letters of Appointment Limited Guardian of the Estate- AOC-E-417 | Aging and Adult Services, Guardianship, Guardianship Legal | Form | pdf | | | aging-and-adult-services guardianship guardianship-legal | form |
| Letters of Appointment Limited Guardian of the Person- AOC-E-418 | Aging and Adult Services, Guardianship, Guardianship Legal | Form | pdf | | | aging-and-adult-services guardianship guardianship-legal | form |
| Letters of Appointment- Guardian of the Estate- AOC-E-407 | Aging and Adult Services, Guardianship, Guardianship Legal | Form | pdf | | | aging-and-adult-services guardianship guardianship-legal | form |
| Letters of Appointment- Guardian of the Person- AOC-E- 408 | Aging and Adult Services, Guardianship, Guardianship Legal | Form | pdf | | | aging-and-adult-services guardianship guardianship-legal | form |
| Motion in the Cause for Restoration to Competency- AOC-SP-215 | Aging and Adult Services, Guardianship, Guardianship Legal | Form | pdf | | | aging-and-adult-services guardianship guardianship-legal | form |
| Motion in the Cause to Modify Guardianship- AOC-E-415 | Aging and Adult Services, Guardianship, Guardianship Legal | Form | pdf | | | aging-and-adult-services guardianship guardianship-legal | form |
| Notice of Hearing Appointment for Guardian- AOC-E-211 | Aging and Adult Services, Guardianship, Guardianship Legal | Form | pdf | | | aging-and-adult-services guardianship guardianship-legal | form |
| Notice of Hearing in Emergency Protective Services Proceedings- AOC-CV-774 | Adult Protective Services, Aging and Adult Services, APS Legal | Form | pdf | | | adult-protective-services aging-and-adult-services aps-legal | form |
| Notice of Hearing on Incompetence/Motion in the Cause and Order Appointing Guardian Ad Litem- AOC-SP-201 | Aging and Adult Services, Guardianship, Guardianship Legal | Form | pdf | | | aging-and-adult-services guardianship guardianship-legal | form |
| Notice of Hearing on Restoration to Competency- AOC-SP-216 | Aging and Adult Services, Guardianship, Guardianship Legal | Form | pdf | | | aging-and-adult-services guardianship guardianship-legal | form |
| Notice of Hearing Protective Services Proceedings- AOC-CV-772 | Adult Protective Services, Aging and Adult Services, APS Legal | Form | pdf | | | adult-protective-services aging-and-adult-services aps-legal | form |
| Notice of Hearing to Enjoin with Protective Services (Consenting disabled Adult)- AOC-CV-781 | Adult Protective Services, Aging and Adult Services, APS Legal | Form | pdf | | | adult-protective-services aging-and-adult-services aps-legal | form |
| Notice of Order to Authorize Inspection of Financial Records and to Freeze Assets- AOC-CV-778 | Adult Protective Services, Aging and Adult Services, APS Legal | Form | pdf | | | adult-protective-services aging-and-adult-services aps-legal | form |
| Oath/Affirmation- AOC-E-400 | Aging and Adult Services, Guardianship, Guardianship Legal | Form | pdf | | | aging-and-adult-services guardianship guardianship-legal | form |
| Order Authorizing Emergency Services/Ex Parte Emergency Services- AOC-CV-775 | Adult Protective Services, Aging and Adult Services, APS Legal | Form | pdf | | | adult-protective-services aging-and-adult-services aps-legal | form |
| Order Authorizing Protective Services- AOC-CV-773 | Adult Protective Services, Aging and Adult Services, APS Legal | Form | pdf | | | adult-protective-services aging-and-adult-services aps-legal | form |
| Order on Application for Appointment of Guardian- AOC-E-406 | Aging and Adult Services, Guardianship, Guardianship Legal | Form | pdf | | | aging-and-adult-services guardianship guardianship-legal | form |
| Order on Motion for Appointment of Interim Guardian- AOC-SP-900M | Aging and Adult Services, Guardianship, Guardianship Legal | Form | pdf | | | aging-and-adult-services guardianship guardianship-legal | form |
| Order on Motion to Modify Guardianship- AOC-E-416 | Aging and Adult Services, Guardianship, Guardianship Legal | Form | pdf | | | aging-and-adult-services guardianship guardianship-legal | form |
| Order on Petition for Adjudication of Incompetence- AOC-SP-202 | Aging and Adult Services, Guardianship, Guardianship Legal | Form | pdf | | | aging-and-adult-services guardianship guardianship-legal | form |
| Order to Authorize Inspection of Financial Records and to Freeze Assets- AOC-CV-777 | Adult Protective Services, Aging and Adult Services, APS Legal | Form | pdf | | | adult-protective-services aging-and-adult-services aps-legal | form |
| Order to Enjoin Interference with Protective Services (Consenting Disabled Adult)- AOC-CV-782 | Adult Protective Services, Aging and Adult Services, APS Legal | Form | pdf | | | adult-protective-services aging-and-adult-services aps-legal | form |
| Performance Management/Reporting and Evaluation Management, PM-REM AL-02-2013, DMA ADMINISTRATIVE LETTER NO: 03-2013, DAAS ADMINISTRATIVE LETTER NO: 2013-05, DSS ECONOMIC AND FAMILY SERVICES ADMINISTRATIVE LETTER NO: 03-2013, DCDEE ADMINISTRATIVE LETTER NO: 01-2013, ONLINE VERIFICATION (OLV) ENHANCEMENTS | Aging and Adult Services, Special Assistance | Administrative Letter | pdf | 291 KB | | aging-and-adult-services special-assistance | administrative-letter |
| Petition and Order for Issuance of Subpoena Directing Release of Financial Records- AOC-SP-630 | Adult Protective Services, Aging and Adult Services, APS Legal | Form | pdf | | | adult-protective-services aging-and-adult-services aps-legal | form |
| Petition for Adjudication of Incompetence and Application for Appointment of Guardian or Limited Guardian and Interim Guardian- AOC-SP-200 | Aging and Adult Services, Guardianship, Guardianship Legal | Form | pdf | | | aging-and-adult-services guardianship guardianship-legal | form |
| Petition for Order Authorizing Protective Services/Emergency Services/Ex Parte Emergency Services and Appointment of Guardian Ad Litem- AOC-CV-770 | Adult Protective Services, Aging and Adult Services, APS Legal | Form | pdf | | | adult-protective-services aging-and-adult-services aps-legal | form |
| Petition for Order to Inspect Financial Records and to Freeze Assets- AOC-CV-776 | Adult Protective Services, Aging and Adult Services, APS Legal | Form | pdf | | | adult-protective-services aging-and-adult-services aps-legal | form |
| Petition to Enjoin Interference with Protective Services- AOC-CV-780 | Adult Protective Services, Aging and Adult Services, APS Legal | Form | pdf | | | adult-protective-services aging-and-adult-services aps-legal | form |
| Request and Order for Multidisciplinary Evaluation- AOC-SP-901M | Aging and Adult Services, Guardianship, Guardianship Legal | Form | pdf | | | aging-and-adult-services guardianship guardianship-legal | form |
| Requirements for the Provision of Services by County Departments of Social Services | Aging and Adult Services | Manual | www | | | aging-and-adult-services | manual |
| SAIH Appendix E, Supplement 1 | Aging and Adult Services, Special Assistance | Form | pdf | 235 KB | | aging-and-adult-services special-assistance | form |
| SAIH Appendix E, Supplement 2 | Aging and Adult Services, Special Assistance | Form | pdf | 206 KB | | aging-and-adult-services special-assistance | form |
| SAIH CASE MANAGEMENT MANUAL CHANGE NOTICE | Aging and Adult Services, Special Assistance | Change Notice | pdf | 253 KB | | aging-and-adult-services special-assistance | change-notice |
| Special Assistance Administrative Letter No. 17-08 Social Security Cost-of-Living Adjustment (COLA 2018) and VA Cost-of-Living Adjustment (COLA 2018) for Special Assistance (SA) in a Facility | Aging and Adult Services, Special Assistance in Home Program | Administrative Letter | pdf | 288 KB | | aging-and-adult-services special-assistance-in-home-program | administrative-letter |
| Special Assistance In Home Program Manual | Aging and Adult Services, Special Assistance in Home Program | Manual | pdf | 543 KB | | aging-and-adult-services special-assistance-in-home-program | manual |
| Special Assistance Manual | Aging and Adult Services, SA Manual, Special Assistance | Manual | pdf | 3 MB | | aging-and-adult-services sa-manual special-assistance | manual |
| Special Proceedings Action Cover Sheet- AOC-SP-550 | Aging and Adult Services, Guardianship, Guardianship Legal | Form | pdf | | | aging-and-adult-services guardianship guardianship-legal | form |
| State/County Special Assistance In-Home Case Management Manual | Aging and Adult Services, Special Assistance in Home Case Management | Manual | pdf | 479 KB | | aging-and-adult-services special-assistance-in-home-case-management | manual |
