This version of the form is not currently in use and is provided for reference only. Download this version of Form HRP-1017A 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 HRP-1017A?
A: Form HRP-1017A is the Request to Terminate USDA Distribution Site - Arizona.
Q: What is a USDA Distribution Site?
A: A USDA Distribution Site is a location where eligible individuals can access USDA food assistance programs.
Q: Who should use Form HRP-1017A?
A: Form HRP-1017A should be used by individuals or organizations that want to terminate a USDA Distribution Site in Arizona.
Q: What information is required on Form HRP-1017A?
A: Form HRP-1017A requires information about the distribution site, reasons for termination, and signatures of the responsible parties.
Q: Are there any fees associated with submitting Form HRP-1017A?
A: No, there are no fees associated with submitting Form HRP-1017A.
Q: What happens after submitting Form HRP-1017A?
A: After submitting Form HRP-1017A, the USDA will review the request and determine whether to approve or deny the termination of the distribution site.
Q: Can I appeal if my request to terminate a USDA distribution site is denied?
A: Yes, if your request to terminate a USDA distribution site is denied, you have the right to appeal the decision.
Form Details:
Download a fillable version of Form HRP-1017A by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.