Fa 100 request 2025

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The document is an Appeal Request form from the Arizona Department of Economic Security's Family Assistance Administration. It allows participants to request an appeal regarding decisions made on various assistance programs, such as Cash Assistance and Nutrition Assistance. The form includes sections for personal information, reasons for the appeal, and options for continued benefits during the appeal process. It also outlines the participant's rights, procedures for filing an appeal, deadlines, and information on maintaining benefits while awaiting a decision.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (174 Votes)
2018	4.3 Satisfied (52 Votes)
2009	3.9 Satisfied (53 Votes)

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