This is a legal form that was released by the Arizona Department of Economic Security - a government authority operating within Arizona. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form DD-099B?
A: Form DD-099B is a Pre-pas Screening Tool for Members at Least 2 Years 10 Months Old, but Less Than 6 Years Old in Arizona.
Q: Who is this form for?
A: This form is for children who are at least 2 years 10 months old, but less than 6 years old.
Q: What is the purpose of this form?
A: The purpose of this form is to screen children for the Pre-pas program in Arizona.
Q: What does Pre-pas stand for?
A: Pre-pas stands for Pre-Admission Screening.
Form Details:
Download a fillable version of Form DD-099B by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.