Form CCA-1269A Sworn Statement by the Registered Family Child Care (FCC) Provider - Arizona

Form CCA-1269A Sworn Statement by the Registered Family Child Care (FCC) Provider - Arizona

What Is Form CCA-1269A?

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-1269A?
A: Form CCA-1269A, also known as Sworn Statement by the Registered Family Child Care (FCC) Provider, is a document used in Arizona.

Q: Who is required to fill out Form CCA-1269A?
A: Registered Family Child Care (FCC) Providers in Arizona are required to fill out Form CCA-1269A.

Q: What is the purpose of Form CCA-1269A?
A: Form CCA-1269A is used to provide sworn statement by the FCC provider regarding their compliance with state regulations and requirements.

Q: Are there any fees associated with Form CCA-1269A?
A: No, there are no fees associated with Form CCA-1269A.

Q: What should I do with the completed Form CCA-1269A?
A: The completed Form CCA-1269A should be submitted to the Arizona Department of Economic Security's Office of Child Care Licensure.

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Form Details:

  • Released on August 1, 2020;
  • 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;

Download a fillable version of Form CCA-1269A by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.

Download Form CCA-1269A Sworn Statement by the Registered Family Child Care (FCC) Provider - Arizona

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