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 the Form FA-100-A?
A: The Form FA-100-A is a Verbal Fair Hearing Request.
Q: What is a Verbal Fair Hearing Request?
A: A Verbal Fair Hearing Request is a request for a hearing to resolve a dispute with the Arizona Department of Economic Security.
Q: Who can submit a Form FA-100-A?
A: Any individual or household that is receiving benefits from the Arizona Department of Economic Security can submit a Form FA-100-A.
Q: How do I submit a Form FA-100-A?
A: You can submit a Form FA-100-A by completing the form and submitting it to the Arizona Department of Economic Security.
Q: What should I include in my Form FA-100-A?
A: You should include your name, address, and a description of the dispute or issue you are requesting a hearing for.
Q: Is there a deadline for submitting a Form FA-100-A?
A: Yes, there is a deadline for submitting a Form FA-100-A. It must be submitted within 90 days of the action you are disputing.
Q: What happens after I submit a Form FA-100-A?
A: After you submit a Form FA-100-A, the Arizona Department of Economic Security will schedule a hearing to resolve the dispute.
Q: Can I have representation at the hearing?
A: Yes, you have the right to be represented by an attorney or other representative at the hearing.
Q: What if I miss the deadline to submit a Form FA-100-A?
A: If you miss the deadline to submit a Form FA-100-A, you may lose your right to a hearing.
Form Details:
Download a fillable version of Form FA-100-A by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.