Form RSA-1298B Blind / Visually Impaired Deaf / Hard of Hearing Summer Youth Program Referral - Arizona

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form RSA-1298B for the current year.

Form RSA-1298B Blind / Visually Impaired Deaf / Hard of Hearing Summer Youth Program Referral - Arizona

What Is Form RSA-1298B?

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 RSA-1298B?
A: Form RSA-1298B is a referral form for the Blind/Visually Impaired Deaf/Hard of Hearing Summer Youth Program.

Q: What is the purpose of Form RSA-1298B?
A: The purpose of Form RSA-1298B is to refer blind, visually impaired, deaf, or hard of hearing youth to the Summer Youth Program in Arizona.

Q: Who is eligible for the Blind/Visually Impaired Deaf/Hard of Hearing Summer Youth Program?
A: Blind, visually impaired, deaf, or hard of hearing youth are eligible for the program.

Q: What does the program offer?
A: The program offers summer activities and services specifically designed for blind, visually impaired, deaf, or hard of hearing youth.

Q: Is there a deadline to submit Form RSA-1298B?
A: The deadline to submit Form RSA-1298B may vary, so it is important to check with the program agency for the specific deadline.

Q: Who should fill out Form RSA-1298B?
A: The form should be filled out by someone referring a blind, visually impaired, deaf, or hard of hearing youth to the program.

Q: What information is required on Form RSA-1298B?
A: The form requires information about the referral source, the youth being referred, and contact information for both.

Q: Can multiple referrals be made on Form RSA-1298B?
A: Yes, multiple youth referrals can be made on a single form.

Q: What happens after submitting Form RSA-1298B?
A: After submitting the form, the program agency will contact the referral source for any additional information or to confirm the referral.

ADVERTISEMENT

Form Details:

  • Released on November 1, 2019;
  • The latest edition provided by the Arizona Department of Economic Security;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form RSA-1298B by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.

Download Form RSA-1298B Blind / Visually Impaired Deaf / Hard of Hearing Summer Youth Program Referral - Arizona

4.3 of 5 (24 votes)
  • Form RSA-1298B Blind/Visually Impaired Deaf/Hard of Hearing Summer Youth Program Referral - Arizona

    1

  • Form RSA-1298B Blind/Visually Impaired Deaf/Hard of Hearing Summer Youth Program Referral - Arizona, Page 2

    2

  • Form RSA-1298B Blind / Visually Impaired Deaf / Hard of Hearing Summer Youth Program Referral - Arizona, Page 1
  • Form RSA-1298B Blind / Visually Impaired Deaf / Hard of Hearing Summer Youth Program Referral - Arizona, Page 2
Prev 1 2 Next
ADVERTISEMENT