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Form DDD-1658A Agency With Choice: Individual Representative - Arizona
What Is Form DDD-1658A?
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 DDD-1658A?
A: Form DDD-1658A is a document used for selecting an individual representative agency in Arizona.
Q: What is Agency With Choice?
A: Agency With Choice is a program that allows individuals with disabilities or their representatives to choose their own support workers.
Q: What is an Individual Representative?
A: An Individual Representative is a person who acts on behalf of an individual with a disability in selecting their support workers.
Q: What is the purpose of Form DDD-1658A?
A: The purpose of Form DDD-1658A is to designate an Individual Representative and authorize them to select support workers for an individual with a disability.
Q: Who can use Form DDD-1658A?
A: Form DDD-1658A can be used by individuals with disabilities or their representatives in Arizona.
Q: Are there any fees associated with submitting Form DDD-1658A?
A: There are no fees associated with submitting Form DDD-1658A.
Q: How should Form DDD-1658A be completed?
A: Form DDD-1658A should be completed by providing the required information about the Individual Representative and the individual with a disability.
Q: What should I do after completing Form DDD-1658A?
A: After completing Form DDD-1658A, it should be submitted to the Division of Developmental Disabilities for processing.
Q: Is there a deadline for submitting Form DDD-1658A?
A: There is no specific deadline for submitting Form DDD-1658A, but it is recommended to submit it as soon as possible to ensure timely support worker selection.
Form Details:
- Released on February 1, 2023;
- 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 DDD-1658A by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.
