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This version of the form is not currently in use and is provided for reference only. Download this version of
Form FAA-0412A-XLP
for the current year.
Form FAA-0412A-XLP Change Report (Extra Large Print) - Arizona
What Is Form FAA-0412A-XLP?
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 the Form FAA-0412A-XLP Change Report?
A: The Form FAA-0412A-XLP Change Report is a report used to document changes related to disability status or employment in the state of Arizona.
Q: Who is required to use Form FAA-0412A-XLP Change Report?
A: Individuals who receive disability benefits or services in Arizona are required to use the Form FAA-0412A-XLP Change Report to report changes in their disability status or employment.
Q: What kind of changes can be reported using Form FAA-0412A-XLP Change Report?
A: Form FAA-0412A-XLP Change Report can be used to report changes in disability status, changes in employment, and changes in income or resources.
Q: Is Form FAA-0412A-XLP Change Report available in large print?
A: Yes, Form FAA-0412A-XLP Change Report is available in extra large print (XLP) format.
Q: Are there any fees associated with submitting Form FAA-0412A-XLP Change Report?
A: No, there are no fees associated with submitting Form FAA-0412A-XLP Change Report.
Q: How often should I submit Form FAA-0412A-XLP Change Report?
A: You should submit Form FAA-0412A-XLP Change Report within 10 days of any changes in disability status, employment, income, or resources.
Form Details:
- Released on March 1, 2022;
- 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 FAA-0412A-XLP by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.
Download Form FAA-0412A-XLP Change Report (Extra Large Print) - Arizona
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