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Form LCR-1030A Request to Withdraw Hcbs Certification - Arizona
What Is Form LCR-1030A?
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-1030A?
A: Form LCR-1030A is a request form to withdraw HCBS certification in Arizona.
Q: What does HCBS stand for?
A: HCBS stands for Home and Community-Based Services.
Q: Who can use Form LCR-1030A?
A: Any individual or organization that wants to withdraw their HCBS certification in Arizona can use Form LCR-1030A.
Q: Are there any fees associated with submitting Form LCR-1030A?
A: There are no fees associated with submitting Form LCR-1030A.
Form Details:
- Released on October 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 LCR-1030A by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.
Download Form LCR-1030A Request to Withdraw Hcbs Certification - Arizona
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