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This document is an application form for entities seeking an extension on the Special Assistance Program as part of the Arizona Department of Education's Child Nutrition Program. It includes sections
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How to fill out application for an extension

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How to fill out Application for an Extension on Special Assistance

01
Obtain the Application for an Extension on Special Assistance form from the relevant agency or website.
02
Fill in your personal information, including your name, address, and contact details.
03
Provide details regarding your current special assistance status and the reason for your extension request.
04
Attach any necessary supporting documents, such as medical records or financial statements.
05
Review the application for completeness and accuracy.
06
Submit the completed application to the appropriate office by mail or in person.
07
Keep a copy of the application for your records.

Who needs Application for an Extension on Special Assistance?

01
Individuals currently receiving special assistance who require additional time or resources to continue their support.
02
Persons experiencing temporary financial difficulties or unforeseen circumstances that impact their ability to maintain their assistance.
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The Application for an Extension on Special Assistance is a formal request made to extend the period during which special assistance benefits are provided to individuals who qualify.
Individuals currently receiving special assistance who wish to continue their benefits beyond the initial period are required to file this application.
To fill out the application, individuals need to provide personal information, details of their current special assistance program, reasons for requesting an extension, and any supporting documentation as required.
The purpose of this application is to allow individuals to request additional time to receive special assistance benefits based on their ongoing need for support.
The information that must be reported includes personal identification details, current assistance status, reason for extension request, and any other relevant financial or personal circumstances.
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