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This form provides an overview of the Empower Program in Arizona and includes an acknowledgment section. It is used to provide information and obtain consent from participants.
This document is for electronic visit verification (EVV) designees in Arizona to attest their responsibilities. EVV is a system used to track and verify home health care services provided to Medicaid recipients.
This form is used for creating a contingency/back-up plan for Electronic Visit Verification (EVV) members in Arizona. It ensures that there is a plan in place to accommodate unforeseen circumstances or technical issues to ensure the continuity of care.
This form is used for electronic visit verification paper timesheet in Arizona.
This document is a questionnaire related to the Produce Safety Rule in Arizona. It is used to gather information and ensure compliance with food safety regulations for produce growers in the state.
This document is for keeping records of agricultural best management practices for crop operations in Maricopa County, Arizona. It helps ensure environmentally responsible farming practices are followed.
This document is for recording agricultural best management practices for crop operations in Pinal County, Arizona.
This document is used for recording the best management practices for agricultural activities in Yuma County, Arizona. It helps farmers and landowners keep track of their practices to ensure sustainable farming and environmental protection.
This form is used for obtaining prior authorization for equipment and supplies under the DDD Tribal Health Program (THP) in Arizona.
This document notifies individuals about their intent to discharge pesticides into protected surface waters under the AZPDES Pesticide General Permit Azg2021-003 in Arizona. It outlines the requirements and regulations related to pesticide discharges in order to protect the environment and public health.
This document is used to inform individuals or organizations in Arizona that their pesticide application activity discharges to protected surface waters are not terminated.
This form is used for reporting annual pesticide usage under the Arizona Pollutant Discharge Elimination System (AZPDES) Pesticide General Permit. It provides information on the amount and type of pesticides used in order to assess their impact on water quality.
This form is used for applying for a certificate of course approval for pre-licensing education for salespersons in Arizona.
This form is used for documenting the use of offsite storage, electronic storage, or electronic management systems in the state of Arizona.