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 Arizona Dcs Forms 2016

Arizona Dcs S 2016-2025 Form

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Instructions and help about Arizona Dcs Forms

this is the current Department of Child Safety billing form for children placed in both licensed and unlicensed foster care all the information must be correct to ensure proper payment the placements info that's you the foster parent is in the top right and bottom right Corners the information on each shaded line is what the department has in its system for the child the participant ID number child's name dates the child was in the home for that month service off classification and number of units or days the child was placed with you are most important if any of the information is incorrect the placement must draw a line through the incorrect info and write the correct info on the blank lines directly below in the same column you must write the number of units used under the typed number if there were no correction these numbers would be the same if not they should be corrected you will not be paid unless you verify the numbers in this column by writing the correct num

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