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.
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.
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.
Form Details:
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.