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Form LCR-1063A Developmental Home License Denial, Revocation or Suspension Hearing Request - Arizona
What Is Form LCR-1063A?
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 LCR-1063A?A: Form LCR-1063A is a document used in Arizona to request a hearing for the denial, revocation, or suspension of a developmental home license.
Q: What is a developmental home license?A: A developmental home license is a license issued by the state of Arizona that allows an individual or family to provide care and support to individuals with developmental disabilities in their own home.
Q: When would I need to use Form LCR-1063A?A: You would need to use Form LCR-1063A when you have received a notice of denial, revocation, or suspension of your developmental home license and you wish to request a hearing to contest the decision.
Q: How do I fill out Form LCR-1063A?A: Form LCR-1063A requires you to provide your personal information, details about the denial, revocation, or suspension of your license, and reasons why you believe the decision should be reconsidered.
Q: Is there a deadline for submitting Form LCR-1063A?A: Yes, there is usually a deadline specified in the notice you received regarding the denial, revocation, or suspension of your license. It is important to submit the form within the given timeframe.
Q: What happens after I submit Form LCR-1063A?A: After you submit Form LCR-1063A, your request for a hearing will be reviewed by the Arizona Department of Economic Security, Division of Developmental Disabilities. They will notify you of the date, time, and location of the hearing.
Form Details:
- Released on October 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;
- Fill out the form in our online filing application.
Download a fillable version of Form LCR-1063A by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.
