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This Form is used for requesting a waiver for overpayment in Arizona.
This form is used for designating an ombudsman in Arizona.
This form is used for requesting provider training under the Agency with Choice (AWC) program in Arizona.
This Form is used for applicants to declare their understanding for a Developmental Home for Children or Adults in Arizona.
This Form is used for notifying individuals of their rights during an inspection in Arizona.
This form is used for obtaining vaccination exemption for household members aged 13 and under in Arizona. It is in Spanish.
This form is used for verifying an adult's unfitness for work in Arizona. It is available in English and Spanish.
This form is used by schools in Arizona to refer students for counseling, special education, or other supportive services. Perfect for educators and school administrators looking to provide additional assistance for students in need.
This form is used for declaring self-employed income in Arizona for the FAA-1439-S.
This Form is used for applying for a research grant program in Arizona.
This form is used for referring a young adult in Arizona who is transitioning to adulthood and may require support or services.
This document outlines the operations and maintenance plan for woodworking activities in Maricopa County, Arizona. It provides guidelines and procedures for ensuring safe and efficient woodworking practices in the area.
This document is used to track and log the temperature of a VFC refrigerator in Arizona.
This form is used by health professionals in Arizona to record the immunization history of children and adolescents. It safeguards crucial data about administered vaccines and prevents unnecessary repeat immunizations.
This form is used to record and track the administration of immunizations to adults in the state of Arizona. It contributes to maintaining an accurate immunization history for each individual.
This document is a template used by healthcare professionals in Arizona to record details of a patient's clinical status or achievements during the course of a healthcare encounter.
This document provides detailed information about the immunization requirements for children from birth to 5 years of age who are attending childcare and preschool in the state of Arizona. It explains which vaccines are mandatory and when they should be administered.
This document is used by residents of Arizona to give their informed consent to receive the Covid-19 Vaccine. It contains important details about the vaccine and stipulates the agreement terms between the vaccine provider and the recipient.