Form CCA-1170A Withdrawal or Termination Request for Child Care Providers - Arizona

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.

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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.

Download Form CCA-1170A Withdrawal or Termination Request for Child Care Providers - Arizona

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  • Form CCA-1170A Withdrawal or Termination Request for Child Care Providers - Arizona, Page 1
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