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Forms & Pamphlets | Arizona Department of Economic Security

Weekly Claim for Unemployment Insurance (UI) Benefits (UB-106-A) - Complete this form only as instructed by DES Unemployment Insurance personnel to do so. Initial Application for Pandemic Unemployment Assistance (UIB-1244A) - Complete this form to...

https://des.az.gov/services/employme... 

Forms for Unemployment Tax | Arizona Department of ...

Select Forms from the dropdown, then select Unemployment in the Category and Insurance Tax in the Sub-category drop-down menus. There you may search for a particular form or sort the list by name or form number by clicking on the heading in the de...

https://des.az.gov/services/employme... 

Documents Center | Arizona Department of Economic Security

Reports, Forms, Pamphlets and Policies. You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.. Find a Document. Click on the tab that corresponds with the type of document type ...

https://des.az.gov/documents-center 

UC-018-Unemployment Tax and Wage Report - Arizona

Your completed (original) form should be mailed or faxed to the address or fax number shown below. Questions about completing the Unemployment Tax and Wage Report may be directed to: Arizona Department of Economic Security P.O. Box 52027 • Mail ...

https://des.az.gov/sites/default/fil... 

Arizona Department of Economic Security | Your Partner for ...

One Month After Release, Arizona Man Finds Employment and Opportunity Through Reentry Services. A month after being released from prison, DeOndre Beckon was able to find a reliable job and valuable employment services though [email protected]’s ...

https://des.az.gov/ 

Arizona Department of Economic Security | Your Partner for ...

Arizona Department of Economic Security | Your Partner for ...

https://des.az.gov/ 

Ari Form 2021 A-4 Employee s Arizona Withholding Election

Ari Form 2021 A-4 Employee s Arizona Withholding Election

https://media.icims.com/training/iFo... 

Forms for Unemployment Tax | Arizona Department of ...

Forms for Unemployment Tax | Arizona Department of ...

https://des.az.gov/services/employme... 

Unemployment Insurance Benefits | Arizona Department of ...

Announcements At the end of January, DES will mail 1099-G tax forms to claimants who received unemployment benefits in 2020. Learn more about Income Tax Information for Unemployment Benefits. If you have an outstanding issue with your unemployment...

https://des.az.gov/services/employme... 

Applying for Nutrition Assistance (Formerly the ... - Arizona

Submit an online application through Health-e-Arizona Plus. Download the Application for Benefits (FAA-0001A) and turn it in by mail or fax. Call (855) 432-7587 to request a paper application be mailed to you.

https://des.az.gov/services/basic-ne... 

Forms | Arizona Department of Revenue

Customer Notice: Due to COVID-19, ADOR's in-person lobby services are by appointment only and in compliance with local municipal and county face covering policies.. Arizona has moved the individual income taxes deadline to May 17, 2021, without pe...

https://azdor.gov/Forms 

Self-Service Center Forms - Arizona Supreme Court

The Arizona Supreme Court authorizes attorneys to engage in what’s called ‘limited scope representation.’ This is a popular alternative for people who choose to represent themselves in court but would like to have an attorney review their co...

https://www.azcourts.gov/selfservice... 

Health-e-Arizona

AHCCCS and DES Staff Helping Arizonans Get Coverage, Benefits and Services. Get Started. ... Testimonials provided by the persons who have used Health-e-Arizona PLUS to obtain and manage their coverage. OTHER LANGUAGES. Español (Spanish) Din&...

https://www.healthearizonaplus.gov/ 

Arizona's Pandemic Unemployment Assistance Portal

Arizona's Pandemic Unemployment Assistance Portal - Complete set of tools for labor market analysts in AZ - PUA. Job seekers and employers access jobs, résumés, education, training, labor …

https://pua.azdes.gov/ 

Forms | Board of Fingerprinting - Arizona

You should use this form if you received a letter from either the Arizona Department of Economic Security (DES) or Arizona Department of Health Services (DHS) saying that, due to a substantiated allegation of child abuse or neglect, you were disqu...

https://fingerprint.az.gov/forms-hel... 

DES: Forms and Documents

Power of Attorney Forms. Power of Attorney - Power of Attorney and Declaration of Representative Form. Allows the representative to file Employer's Quarterly Tax and Wage Reports, to file benefit information and to generally authorize the reportin...

https://des.nc.gov/need-help/forms-a... 

DCS Forms | Arizona Department of Child Safety

Find a document: Enter a keyword or a form number in the Find a Document field and click the Search button. Select a category from the Filter by Category drop-down and click the Search button. Click on the Effective Date column header to sort the ...

https://dcs.az.gov/resource/forms 

Individual Income Tax Forms | Arizona Department of Revenue

Customer Notice: Due to COVID-19, ADOR's in-person lobby services are by appointment only and in compliance with local municipal and county face covering policies.. Arizona has moved the individual income taxes deadline to May 17, 2021, without pe...

https://azdor.gov/forms/individual 

HR Forms and Templates | Human Resources - Arizona

Date Form/Template Number Title ; 07/31/19 : ASPS/HRD - FA8.01A : ADOA Discipline - Dismissal Review Guidance Worksheet

https://hr.az.gov/content/hr-forms-a... 

Request for Application for AHCCCS Long Term Care Services

Mail: AHCCCS 801 E. Jefferson St. MD 3900 Phoenix, AZ 85034 ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM (AHCCCS) DE-202(10/2020) 6

https://www.azahcccs.gov/Members/Dow... 

ARIZONA DEPARTMENT OF ECONOMIC SECURITY Division of …

CS-127 (8-18) ARIZONA DEPARTMENT OF ECONOMIC SECURITY Division of Child Support Services ACKNOWLEDGMENT OF PATERNITY READ ALL INSTRUCTIONS CAREFULLY AND REMOVE THIS PAGE BEFORE COMPLETION The purpose of this form is to acknowledge paternity for a ...

https://www.azdhs.gov/documents/lice... 

Forms & Applications - Arizona Self Help

In order to view and print the files listed above, you must have Adobe Acrobat Reader version 4.0 or greater installed on your hard drive. It is available free of charge and can be downloaded and installed by selecting the Acrobat icon on this page

https://www.arizonaselfhelp.org/appl... 

New Hire Forms Employees | Human Resources - Arizona

W-4 Federal Tax Form - Employee's Withholding Certificate . Read more about W-4 Federal Tax Form - Employee's Withholding Certificate; Employee Personal Information

https://hr.az.gov/downloads/new-hire... 

ADHS

Arizona Department of Health Services 150 North 18th Avenue Phoenix, Arizona 85007 Find us on Google Maps. General and Public Information: (602) 542-1025 Fax: (602) 542-0883 About Us | Contact Us Employees Hearing/Speech Challenges?

https://azdhs.gov/licensing/childcar... 

Forms Technical Information | Arizona Department of Revenue

Customer Notice: Due to COVID-19, ADOR's in-person lobby services are by appointment only and in compliance with local municipal and county face covering policies.. Arizona has moved the individual income taxes deadline to May 17, 2021, without pe...

https://azdor.gov/forms/forms-techni... 

View 1099-G

Welcome to Arizona Department of Revenue 1099-G lookup service. The department is now providing Form 1099-G online instead of mailing them. Form 1099-G reports the amount of income tax refunds including credits or offsets that we paid to you in a ...

https://form1099g.aztaxes.gov/Home/V... 

Program Forms and Resources CACFP | Arizona Department of ...

The following are program forms and resources for operators of the Child and Adult Care Food Program.Administration FormsPermanent AgreementMandatory Reporting of DUNS Number Administrative Review ProceduresProcedures for Complaints of Discriminat...

https://www.azed.gov/hns/cacfp/progr... 

MVD Forms Library | ADOT - Arizona Department of ...

For apply for exemption from payment of license tax and registration fees on Arizona based aircraft. Aircraft Inventory Log. 96-0529. ... *** Online form is not fillable *** To guide an aircraft owner through the registration process. Aircraft Sol...

https://azdot.gov/motor-vehicles/for... 

Arizona New Hire Reporting

Federal and State law requires employers to report newly hired and re-hired employees in Arizona to the Arizona New Hire Reporting Center. Please use this site to provide you with information about reporting new hires including reporting online an...

https://newhire-reporting.com/AZ-New... 

Form 1099-G Tax Information Now Available Online | Arizona ...

The Arizona Department of Revenue has taken another step to deliver faster and more cost-effective tax service for Arizonans. Taxpayers receiving Form 1099-G, which serves as a confirmation of the previous year’s state tax refund, can now go onl...

https://azdor.gov/news-events-notice... 

Life & Health Rates, Forms & Compliance | Arizona ...

You must use SERFF (System for Electronic Rate and Form Filings) to file all required advertising, form and rate filings.. If you are unfamiliar with SERFF or require technical assistance using the site, please contact the SERFF Help Desk at 816...

https://insurance.az.gov/insurers/li... 

Arizona Child Support Forms - AzCourtHelp

*This Income Withholding Order (IWO) form is the standard format prescribed by the U.S. Secretary of Health and Human Services in accordance with USC 42 § 666(b)(6)(A)(ii). This federally-approved form must be issued to employers or other inc...

https://www.azcourthelp.org/forms/ch... 

Form 140A - Arizona Resident Personal Income Tax Booklet ...

Customer Notice: Due to COVID-19, ADOR's in-person lobby services are by appointment only and in compliance with local municipal and county face covering policies.. Arizona has moved the individual income taxes deadline to May 17, 2021, without pe...

https://azdor.gov/forms/individual/f... 

Cognito Forms

Reason for Filing the form (Sub Section) is required. Please note, if you received a 1099-G document from another state other than Arizona, you must contact the agency in the other state to report the issue.

https://www.cognitoforms.com/Arizona... 

Arizona Withholding Tax | Arizona Department of Revenue

Electing an Arizona Withholding Percentage – Completing Arizona Form A‑4. All new employees subject to Arizona income tax withholding must complete Arizona Form A-4 within five days of employment. If the new employee fails to complete Arizona ...

https://azdor.gov/businesses-arizona... 

Forms | General Accounting Office - Arizona

Interactive forms may be opened online or downloaded to your PC and completed at a later time when offline. Interactive forms enable the user to enter information directly into the forms. Forms which require a signature or other type of manual aut...

https://gao.az.gov/publications/form... 

AZDHS | Vital Records - Arizona Department of Health Services

The Arizona Department of Health Services, Bureau of Vital Records is currently closed for in-person business. Please continue to submit applications using our online ordering or mail options. Every attempt is being made to provide customer servic...

https://azdhs.gov/licensing/vital-re... 

Ari Form 2021 A-4 Employee s Arizona Withholding Election

Form Employee’s Arizona Withholding Election 2021 Type or print your full name Your social security number Home address - number and street or rural route City or Town State ZIP Code Choose either box 1 or box 2: 1 Withhold from gross taxable wa...

https://media.icims.com/training/iFo... 

Fingerprint Clearance Card | Arizona Department of Public ...

Phone/Fax: 602.223.2279 602.223.2947 - fax Mailing Address: Arizona Department of Public Safety Applicant Clearance Card Team P. O. Box 18390 Phoenix, AZ 85005-8390

https://www.azdps.gov/services/publi... 

MVD Forms Library | ADOT - Arizona Department of ...

Listing of the required forms, documents and fees for the IRP/IFTA application process for authorized Third Parties. ... Law Enforcement Resources/AZ Crash Report/Training Resources . Arizona Department of Transportation. Contact ADOT. Civil Right...

https://azdot.gov/motor-vehicles/for... 

AZ Continued Claims: Enter SSN

If this change affected your payment, DES will amend its response to process your weekly claim this week. If this was the only issue on your claim, you should see the resolution and payment soon. You do not need to contact DES to resolve this issu...

http://azuiinternetweeklyclaim.azdes... 

Contact Us | Arizona Department of Revenue

If requesting penalty abatement, please fill out Arizona Form 290, print and mail it to the following: Arizona Department of Revenue. Penalty Review Unit, Division 9. 1600 W. Monroe St. Phoenix, AZ 85007-2612 Visit the Penalty Abatement page for m...

https://azdor.gov/contact-us 

Filing an Application for ALTCS

ALTCS is the State of Arizona’s Medicaid program that provides long term care services, at little or no cost, to financially and medically eligible Arizona residents who are aged, blind, disabled, or have a developmental disability. This informa...

https://www.azahcccs.gov/Members/Dow... 

Arizona Department of Child Safety

Our Vision: Children thrive in family environments free from abuse and neglect. Our Mission: Successfully engage children and families to ensure safety, strengthen families, and achieve permanency. If you suspect child abuse or neglect, contact th...

https://dcs.az.gov/ 

Arizona Health Care Cost Containment System (AHCCCS)

Arizona Health Care Cost Containment System (AHCCCS) is Arizona's Medicaid agency that offers health care programs to serve Arizona residents. Individuals must meet certain income and other requirements to obtain services. ... ATTENTION : Si vous ...

http://www.azahcccs.gov/ 

Office of Licensing and Regulation (OLR) | Arizona ...

The Family Home Licensing (FHL) unit assists in the licensure and ongoing monitoring of foster families across the State of Arizona to ensure safe homes for children.The FHL unit reviews information during the licensing process, during ongoing mon...

https://dcs.az.gov/olr 

Arizona Unemployment Tax and Wage System

Note: Wage Reports and Payments are timely if electronically FILED before midnight Mountain Standard Time on the quarterly due date.

https://uitws.azdes.gov/App/Employer... 

TITLE TRANSFER Bill of Sale - Arizona Department of ...

If there are additional owners, use an additional form. Arizona Brand (if no brand write NONE) * Current Lienholder (if no lien, write NONE) * TITLE TRANSFER Bill of Sale 38- 1306 R 04/20 azdot.gov. Void if altered or erased Sequential Bills of Sa...

https://apps.azdot.gov/files/mvd/mvd... 

Forms and Publications | ADOT - Arizona Department of ...

Sales/Excise Tax Liability: Arizona Department of Revenue Website explaining the sales and excise tax liability for a vehicle that is registered in Arizona after being issued a 90-day Nonresident Registration Permit; Court Abstract Popular Publica...

https://azdot.gov/motor-vehicles/for... 

ARIZONA DEPARTMENT OF HEALTH SERVICES

Arizona Department of Health Services. Bureau of Child Care Licensing . ACCIDENT, INJURY, EMERGENCY, ILLNESS, INFESTATION, AND ABSENCE LOG . Date Time Affected Child/Staff Name Description/Location of Accident, Injury, Emergency, Illness, Infestat...

https://www.azdhs.gov/documents/lice... 

Rent & Income Limits | Arizona Department of Housing

Apr 01, 2021  · Forms; Links; Housing Invoices; Training & Events. Calendar; Fair Housing Training for Justice Involved Individuals - to be Rescheduled; ... Arizona Department of Housing . 1110 W. Washington #280 Phoenix, AZ 850...

https://housing.az.gov/documents-lin... 

New Hire Reporting Form

New Hire Reporting Form . Mail: Arizona New Hire Reporting Center Fax: 1-888-282-0502 PO Box 142901 Austin TX 78714 Report online at . www.az-newhire.com

https://newhire-reporting.com/Downlo... 

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