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AZ ASPS/HRD - FA1.03 2023-2026 free printable template

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Arizona State Personnel SystemReasonable Accommodation Request NameTitlePosition NumberAgencyDivisionWork UnitWork Phone #Alternate Phone #Work AddressCityStateZipThe information below and/or any
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Start by downloading the AZ ASPS/HRD - FA1.03 form from the official website.
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Review the instructions provided on the form to understand the information required.
03
Fill out the personal identification fields, including your full name, date of birth, and contact information.
04
Complete the employment information section, detailing your current job title, employer, and work address.
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Provide any necessary financial information as requested in the form.
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Sign and date the form where indicated.
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Submit the form as instructed, either electronically or via mail.

Who needs AZ ASPS/HRD - FA1.03?

01
Individuals applying for assistance with Arizona's Adult Services and Community Partnerships.
02
Residents seeking financial support through the Human Resources Division.
03
Organizations and service providers working with clients in need of financial assistance.
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Questions and answers An assessment accommodation is defined as a change in how an assessment is presented or how the applicant is asked to respond.
Providing an assistant as needed may be a reasonable accommodation for a person with a disability, if this does not impose an undue hardship. Examples include: An assistant may be needed to retrieve items on shelves, file, or selectively assist a person with quadriplegia with other clerical duties.
Because of my disability, I need the following accommodations: [LIST ACCOMMODATIONS]. A medical provider has prescribed this accommodation for my disability. I would like to meet with you to discuss these and any other accommodations that will enable me to have an equal opportunity to live in and enjoy this residence.
The purpose of this form is to inform you that your request has been denied and to provide information to you.
If you have a disability or need assistance performing your tasks properly, you can make a request to your employer for accommodations. Requests could include wider hallways for wheelchair access, an adapted schedule to facilitate medication times, unique office requirements or visual or auditory aids.
At work, reasonable accommodations are any realistic measures an employer can take to enable their employees to complete their essential job functions well. If you have a disability or need assistance performing your tasks properly, you can make a request to your employer for accommodations.

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AZ ASPS/HRD - FA1.03 is a specific form used in Arizona for reporting compensation and wages for state unemployment tax purposes.
Employers who are subject to Arizona's unemployment insurance laws are required to file AZ ASPS/HRD - FA1.03.
To fill out AZ ASPS/HRD - FA1.03, employers need to provide details such as employee information, wages paid, and other relevant payroll data as specified on the form.
The purpose of AZ ASPS/HRD - FA1.03 is to collect data on employee wages and employment status for the administration of unemployment insurance benefits in Arizona.
Information that must be reported includes employee names, Social Security numbers, wages paid, and employment periods.
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