This version of the form is not currently in use and is provided for reference only. Download this version of Form ASA-1011A 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?
A: Form ASA-1011A is an Appeal Request form for the Emergency Rental Assistance Program (ERAP) and Low-Income Household Water Assistance Program (LIHWAP) in Arizona.
Q: What is ERAP?
A: ERAP stands for Emergency Rental Assistance Program. It provides financial assistance to eligible households for rental and utility arrears, as well as future rental and utility payments.
Q: What is LIHWAP?
A: LIHWAP stands for Low-Income Household Water Assistance Program. It provides assistance to low-income households for water and wastewater payments.
Q: Who can use Form ASA-1011A?
A: Individuals or households in Arizona who have been denied ERAP or LIHWAP benefits and wish to appeal the decision can use Form ASA-1011A.
Q: What information do I need to provide on Form ASA-1011A?
A: You will need to provide your personal information, the details of the denial decision, and the reasons for your appeal on Form ASA-1011A.
Q: Is there a deadline for submitting Form ASA-1011A?
A: Yes, there is typically a deadline for submitting Form ASA-1011A. It is important to check the instructions or contact the department to ensure timely submission.
Q: What happens after I submit Form ASA-1011A?
A: After you submit Form ASA-1011A, your appeal request will be reviewed by the relevant department. You will be notified of the outcome of your appeal.
Q: Can I get legal assistance for completing Form ASA-1011A?
A: Yes, if you require legal assistance to complete Form ASA-1011A or navigate the appeal process, you can seek help from legal aid organizations or attorneys who specialize in tenant rights.
Form Details:
Download a fillable version of Form ASA-1011A by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.