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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 DDD-1991A
for the current year.
Form DDD-1991A Ddd Eligibility Checklist - Arizona
What Is Form DDD-1991A?
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 DDD-1991A?
A: Form DDD-1991A is the DDD Eligibility Checklist for Arizona.
Q: What is the purpose of Form DDD-1991A?
A: The purpose of Form DDD-1991A is to determine eligibility for services provided by the Arizona Department of Developmental Disabilities (DDD).
Q: Who needs to complete Form DDD-1991A?
A: Form DDD-1991A needs to be completed by individuals seeking eligibility for services from the Arizona DDD.
Q: What information is required on Form DDD-1991A?
A: Form DDD-1991A requires information about the individual's personal details, medical history, and current functioning.
Q: What happens after completing Form DDD-1991A?
A: After completing Form DDD-1991A, the individual's eligibility for DDD services will be determined by the Arizona DDD.
Q: Are there any fees for submitting Form DDD-1991A?
A: No, there are no fees for submitting Form DDD-1991A.
Q: Are there any deadlines for submitting Form DDD-1991A?
A: There are no specific deadlines for submitting Form DDD-1991A, but it is recommended to submit it as soon as possible for timely processing of eligibility.
Q: Can someone help me fill out Form DDD-1991A?
A: Yes, you can seek assistance from a case manager or support coordinator to help you fill out Form DDD-1991A.
Q: What if my eligibility for DDD services is denied?
A: If your eligibility for DDD services is denied, you have the right to appeal the decision and request a fair hearing.
Form Details:
- Released on February 1, 2019;
- 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 DDD-1991A by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.
