This manual is not a complete guide to handling Arizona Workers' Compensation Claims and cannot cover every possible situation. This form facilitates the filing of both the Notice of and the Request for.Withdrawal of Charge. Please be advised there is a charge for filling out FMLA, Disability, or Work release paperwork. Prior to submitting forms please ask for a fee schedule. I, MATTHEW RIGHETTI, declare that: I make this declaration of my personal knowledge and could testify thereto if called as a witness. (a) Researchers will explore the role rehabilitation ("rehabbing") of mobile homes may contribute to an upgrading of the mobile home park. The. Apply to Residential Counselor, Mental Health Technician, Handy Man and more!