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This version of the form is not currently in use and is provided for reference only. Download this version of
Form J-930-A
for the current year.
Form J-930-A Request for Effective Modification to Participate in a Program, Service, or Activity - Arizona
What Is Form J-930-A?
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.
FAQ
Q: What is Form J-930-A?
A: Form J-930-A is a request for effective modification to participate in a program, service, or activity in the state of Arizona.
Q: Who can use Form J-930-A?
A: Any individual who requires modifications to participate in a program, service, or activity in Arizona can use Form J-930-A.
Q: What is the purpose of Form J-930-A?
A: The purpose of Form J-930-A is to request effective modifications that will enable an individual to fully participate in a program, service, or activity in the state of Arizona.
Q: Are there any fees associated with submitting Form J-930-A?
A: No, there are no fees associated with submitting Form J-930-A.
Form Details:
- Released on October 1, 2018;
- The latest edition provided by the Arizona Department of Economic Security;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form J-930-A by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.
Download Form J-930-A Request for Effective Modification to Participate in a Program, Service, or Activity - Arizona
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