Form LCR-1063A Developmental Home License Denial, Revocation or Suspension Hearing Request - Arizona

What Is Form LCR-1063A?

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 LCR-1063A?
A: Form LCR-1063A is a document used in Arizona to request a hearing for the denial, revocation, or suspension of a developmental home license.

Q: What is a developmental home license?
A: A developmental home license is a license issued by the state of Arizona that allows an individual or family to provide care and support to individuals with developmental disabilities in their own home.

Q: When would I need to use Form LCR-1063A?
A: You would need to use Form LCR-1063A when you have received a notice of denial, revocation, or suspension of your developmental home license and you wish to request a hearing to contest the decision.

Q: How do I fill out Form LCR-1063A?
A: Form LCR-1063A requires you to provide your personal information, details about the denial, revocation, or suspension of your license, and reasons why you believe the decision should be reconsidered.

Q: Is there a deadline for submitting Form LCR-1063A?
A: Yes, there is usually a deadline specified in the notice you received regarding the denial, revocation, or suspension of your license. It is important to submit the form within the given timeframe.

Q: What happens after I submit Form LCR-1063A?
A: After you submit Form LCR-1063A, your request for a hearing will be reviewed by the Arizona Department of Economic Security, Division of Developmental Disabilities. They will notify you of the date, time, and location of the hearing.