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DERS1057A FORFF (821)ARIZONA DEPARTMENT OF ECONOMIC SECURITY Division of Employment and Rehabilitation ServicesDIRECT SERVICE POSITIONYou have applied for a position that provides direct services
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Obtain a copy of the DERS-1057A form from the relevant service office or website.
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Enter your personal details in the designated sections, including your name, address, and contact information.
03
Fill out the service details, specifying the type of direct service you are applying for.
04
Provide any required documentation to support your application, such as identification or proof of need.
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DERS-1057A - Direct Service is a form used by organizations and businesses to report direct service activities, often related to regulations on service provision within certain sectors.
Organizations and businesses that provide direct services to clients or the public are required to file DERS-1057A.
To fill out DERS-1057A, you need to provide your organization's details, the type of direct services rendered, the number of clients served, and any relevant financial information.
The purpose of DERS-1057A is to ensure compliance with regulatory requirements and to provide data on the direct services offered by various organizations.
The form requires reporting information such as service type, client demographics, number of services provided, and financial details related to the services.
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