This version of the form is not currently in use and is provided for reference only. Download this version of Form HRP-1017A for the current year.
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 HRP-1017A?
A: Form HRP-1017A is a request form to terminate a USDA distribution site in Arizona.
Q: What is a USDA distribution site?
A: A USDA distribution site is a location where food is distributed to eligible participants.
Q: Who needs to fill out Form HRP-1017A?
A: Any organization or individual that wants to terminate a USDA distribution site in Arizona needs to fill out this form.
Q: What information is required on Form HRP-1017A?
A: Form HRP-1017A requires information such as the name and address of the distribution site, the reason for termination, and the signature of the authorized representative.
Q: Are there any fees associated with submitting Form HRP-1017A?
A: No, there are no fees associated with submitting Form HRP-1017A.
Q: What happens after I submit Form HRP-1017A?
A: After submitting Form HRP-1017A, the USDA will review the request and determine whether to approve the termination of the distribution site.
Q: How long does it take to process Form HRP-1017A?
A: The processing time for Form HRP-1017A may vary, but it typically takes several weeks to receive a decision from the USDA.
Q: What should I do if my request to terminate the USDA distribution site is approved?
A: If your request is approved, you will need to follow the instructions provided by the USDA to properly close and remove the distribution site.
Form Details:
Download a fillable version of Form HRP-1017A by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.