Form ASA-1011A-LP Appeal Request - Erap (Large Print) - Arizona

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form ASA-1011A-LP for the current year.

Form ASA-1011A-LP Appeal Request - Erap (Large Print) - Arizona

What Is Form ASA-1011A-LP?

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 ASA-1011A-LP?
A: Form ASA-1011A-LP is an Appeal Request form designed for large print format.

Q: Who can use Form ASA-1011A-LP?
A: Form ASA-1011A-LP can be used by individuals in Arizona who are seeking to appeal a decision.

Q: What is the purpose of Form ASA-1011A-LP?
A: The purpose of Form ASA-1011A-LP is to request an appeal of a decision made by the Employment Retirees' Appeals Program (ERAP) in Arizona.

Q: Is Form ASA-1011A-LP specifically for individuals with visual impairments?
A: Yes, Form ASA-1011A-LP is designed for individuals with visual impairments as it is in large print format.

ADVERTISEMENT

Form Details:

  • Released on August 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 ASA-1011A-LP by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.

Download Form ASA-1011A-LP Appeal Request - Erap (Large Print) - Arizona

4.3 of 5 (8 votes)
  • Form ASA-1011A-LP Appeal Request - Erap (Large Print) - Arizona

    1

  • Form ASA-1011A-LP Appeal Request - Erap (Large Print) - Arizona, Page 2

    2

  • Form ASA-1011A-LP Appeal Request - Erap (Large Print) - Arizona, Page 3

    3

  • Form ASA-1011A-LP Appeal Request - Erap (Large Print) - Arizona, Page 4

    4

  • Form ASA-1011A-LP Appeal Request - Erap (Large Print) - Arizona, Page 5

    5

  • Form ASA-1011A-LP Appeal Request - Erap (Large Print) - Arizona, Page 1
  • Form ASA-1011A-LP Appeal Request - Erap (Large Print) - Arizona, Page 2
  • Form ASA-1011A-LP Appeal Request - Erap (Large Print) - Arizona, Page 3
  • Form ASA-1011A-LP Appeal Request - Erap (Large Print) - Arizona, Page 4
  • Form ASA-1011A-LP Appeal Request - Erap (Large Print) - Arizona, Page 5
Prev 1 2 3 4 5 Next
ADVERTISEMENT