This version of the form is not currently in use and is provided for reference only. Download this version of Form CCA-0100A for the current year.

Form CCA-0100A Provider's Child Care Operational Information - Arizona

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What Is Form CCA-0100A?

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 CCA-0100A?
A: Form CCA-0100A is used to provide operational information for child care providers in Arizona.

Q: Who needs to fill out Form CCA-0100A?
A: Child care providers in Arizona need to fill out Form CCA-0100A.

Q: What information is required on Form CCA-0100A?
A: Form CCA-0100A requires information about the child care provider's name, address, contact information, and operational details.

Q: Is there a fee associated with submitting Form CCA-0100A?
A: No, there is no fee for submitting Form CCA-0100A.

Q: What is the deadline for submitting Form CCA-0100A?
A: The deadline for submitting Form CCA-0100A may vary. Please check with the Arizona Department of Economic Security for the specific deadline.

Q: What happens after submitting Form CCA-0100A?
A: After submitting Form CCA-0100A, the Arizona Department of Economic Security will review the information and may contact the provider for further clarification or to schedule an inspection.

Q: Can I make changes to my operational information after submitting Form CCA-0100A?
A: Yes, you can make changes to your operational information by contacting the Arizona Department of Economic Security.

Q: Are there any penalties for not submitting Form CCA-0100A?
A: Failure to submit Form CCA-0100A may result in the suspension or revocation of your child care provider license.

Form Details:

Released on March 1, 2021;
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 CCA-0100A by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.