This version of the form is not currently in use and is provided for reference only. Download this version of Form CC-214 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 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.
Form Details:
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.