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Form DDD-1622A Home Modification Requests Support Coordinator's (Sc) Checklist - Arizona
What Is Form DDD-1622A?
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 the purpose of Form DDD-1622A?
A: The purpose of Form DDD-1622A is to serve as a Home Modification Requests Support Coordinator's Checklist.
Q: Who uses Form DDD-1622A?
A: Form DDD-1622A is used by Support Coordinators in Arizona for home modification requests.
Q: What is the function of a Support Coordinator?
A: A Support Coordinator assists individuals with disabilities in accessing services and supports in their community.
Q: What is the purpose of a home modification request?
A: The purpose of a home modification request is to make necessary changes to an individual's home to enhance their independence and accessibility.
Q: What information is included in Form DDD-1622A?
A: Form DDD-1622A includes information such as the individual's name, contact information, description of the requested modification, and supporting documentation.
Q: Who should complete Form DDD-1622A?
A: The Support Coordinator should complete Form DDD-1622A with input from the individual and any other relevant parties.
Q: Is there a deadline for submitting Form DDD-1622A?
A: There is no specific deadline mentioned for submitting Form DDD-1622A, but it is recommended to submit it as soon as possible.
Q: Is there a fee for submitting Form DDD-1622A?
A: The document does not mention any specific fee for submitting Form DDD-1622A, but there may be associated costs with the home modification process.
Form Details:
- Released on July 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-1622A by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.
