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ARIZONA DEPARTMENT OF ECONOMIC SECURITY Division of Child Care CCA 1211A FOR FF (522)Page 1 of 2REQUEST FOR SEARCH OF BACKGROUND CHECKS This document and any files transmitted with it are confidential

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How to fill out cca-1211a - request for

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Obtain a copy of the CCA-1211A form.

02

Fill out your personal information including name, address, and contact information.

03

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04

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Individuals who need to request specific information or documents related to a particular matter.

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The cca-1211a is a request for a specific form or information related to a certain process or procedure.

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