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Form DDD-1678A Home Modifications Service Assessment - Arizona
What Is Form DDD-1678A?
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 purpose of Form DDD-1678A?
A: Form DDD-1678A is used to assess home modifications service needs in Arizona.
Q: Who uses Form DDD-1678A?
A: This form is used by individuals with disabilities and their support teams in Arizona.
Q: What information is collected on Form DDD-1678A?
A: The form collects data about home modifications services required by the individual, including specific modifications needed, cost estimates, and funding sources.
Q: Are there any fees associated with submitting Form DDD-1678A?
A: No, there are no fees associated with submitting this form.
Q: What happens after submitting Form DDD-1678A?
A: After submitting the form, it will be reviewed by the Arizona Division of Developmental Disabilities and a determination will be made regarding the eligibility for home modifications services.
Form Details:
- Released on May 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-1678A by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.
Download Form DDD-1678A Home Modifications Service Assessment - Arizona
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