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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 assess the eligibility of individuals for services offered by the Division of Developmental Disabilities in Arizona.
Q: Who needs to complete Form DDD-1991A?
A: Form DDD-1991A needs to be completed by individuals or their legally authorized representatives who are seeking eligibility for services from the Division of Developmental Disabilities in Arizona.
Q: How do I fill out Form DDD-1991A?
A: Form DDD-1991A requires you to provide detailed information about the individual, including their personal details, diagnosis, functional limitations, and medical history. It is important to answer all the questions accurately and provide supporting documentation, if required.
Q: What happens after I submit Form DDD-1991A?
A: After you submit Form DDD-1991A, the Division of Developmental Disabilities will review the information provided and determine the individual's eligibility for services. They may request additional documentation or schedule an assessment.
Q: Are there any fees associated with Form DDD-1991A?
A: There are no fees associated with submitting Form DDD-1991A.
Q: Is Form DDD-1991A confidential?
A: Yes, the information provided on Form DDD-1991A is confidential and protected by privacy laws.
Q: Can I appeal the decision if my eligibility is denied?
A: Yes, if your eligibility for services is denied, you have the right to appeal the decision. The Division of Developmental Disabilities will provide you with information on how to initiate the appeals process.
Q: Who can I contact for more information about Form DDD-1991A?
A: For more information about Form DDD-1991A, you can contact the Division of Developmental Disabilities in Arizona.
Form Details:
- Released on December 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 DDD-1991A by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.
