Form CC-214 Child Care Provider Rate Agreement - Arizona

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Form CC-214 Child Care Provider Rate Agreement - Arizona

What Is Form CC-214?

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 CC-214?
A: Form CC-214 is the Child Care Provider Rate Agreement for the state of Arizona.

Q: What is the purpose of Form CC-214?
A: The purpose of Form CC-214 is to establish the rate at which a child care provider will be reimbursed by the state of Arizona.

Q: Who needs to fill out Form CC-214?
A: Child care providers in Arizona who wish to receive reimbursement for their services need to fill out Form CC-214.

Q: What information is required on Form CC-214?
A: Form CC-214 requires information such as the child care provider's name, contact information, rates, and other details of the agreement.

Q: How should I submit Form CC-214?
A: Form CC-214 should be submitted to the state agency responsible for child care reimbursement in Arizona, along with any supporting documentation.

Q: Are there any deadlines for submitting Form CC-214?
A: Deadlines for submitting Form CC-214 may vary, so it is recommended to check with the Arizona Department of Economic Security for specific deadlines.

Q: What happens after I submit Form CC-214?
A: After submitting Form CC-214, the state agency will review the agreement and determine the reimbursement rate for the child care provider.

Q: Can I make changes to the rate agreement after submitting Form CC-214?
A: Any changes to the rate agreement will require submitting a revised Form CC-214 to the state agency for review and approval.

Q: What if I have questions or need assistance with Form CC-214?
A: If you have questions or need assistance with Form CC-214, you can contact the Arizona Department of Economic Security for guidance.

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Form Details:

  • Released on September 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 CC-214 by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.

Download Form CC-214 Child Care Provider Rate Agreement - Arizona

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