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Form CCA-1170A Withdrawal or Termination Request for Child Care Providers - Arizona
What Is Form CCA-1170A?
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 CCA-1170A?
A: Form CCA-1170A is a withdrawal or termination request for child care providers in Arizona.
Q: Who can use Form CCA-1170A?
A: Child care providers in Arizona can use Form CCA-1170A.
Q: What is the purpose of Form CCA-1170A?
A: The purpose of Form CCA-1170A is to request withdrawal or termination as a child care provider.
Q: How should I fill out Form CCA-1170A?
A: You should carefully read and follow the instructions provided with Form CCA-1170A to properly fill it out.
Q: What should I do with Form CCA-1170A once it's filled out?
A: Once you have completed Form CCA-1170A, you should submit it to the relevant Arizona state agency or follow the instructions provided.
Q: What happens after I submit Form CCA-1170A?
A: After you submit Form CCA-1170A, the relevant Arizona state agency will process your request and take appropriate action.
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 CCA-1170A by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.
