PDF
Word
Form RSA-1390A Statement of Services Rendered - Arizona
What Is Form RSA-1390A?
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 RSA-1390A?
A: Form RSA-1390A is the Statement of Services Rendered form.
Q: What is the purpose of form RSA-1390A?
A: The purpose of form RSA-1390A is to report the services rendered by a provider in Arizona.
Q: Who needs to fill out form RSA-1390A?
A: Providers of services in Arizona need to fill out form RSA-1390A.
Q: What information is required on form RSA-1390A?
A: Form RSA-1390A requires the provider's information, the recipient's information, and details of the services rendered.
Q: Are there any filing fees for form RSA-1390A?
A: No, there are no filing fees for submitting form RSA-1390A.
Q: When is the deadline to submit form RSA-1390A?
A: The deadline to submit form RSA-1390A is typically within a specified number of days from the end of the month in which the services were rendered.
Q: What happens if I don't submit form RSA-1390A on time?
A: Failure to submit form RSA-1390A on time may result in delayed payment or potential penalties.
Form Details:
- Released on July 1, 2020;
- 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 RSA-1390A by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.
