Arizona Current Employer or Other Mayor Information is a type of information submitted to the Arizona Department of Economic Security (DES) when an individual applies for certain types of financial assistance. This information includes the name, address, and contact information of the current employer or other mayor (such as workers' compensation or a pension) that is providing the individual with income. This information is used by DES to verify employment and income, and to determine an individual’s eligibility for assistance. Different types of Arizona Current Employer or Other Mayor Information include: employer contact information, worker's compensation information, pension information, and other income sources.
Arizona Current Employer Or Other Payor Informtion
State:
Arizona
Control #:
AZ-PN-F-05
Format:
PDF
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Description
Current Employer Or Other Payor Informtion
Arizona Current Employer or Other Mayor Information is a type of information submitted to the Arizona Department of Economic Security (DES) when an individual applies for certain types of financial assistance. This information includes the name, address, and contact information of the current employer or other mayor (such as workers' compensation or a pension) that is providing the individual with income. This information is used by DES to verify employment and income, and to determine an individual’s eligibility for assistance. Different types of Arizona Current Employer or Other Mayor Information include: employer contact information, worker's compensation information, pension information, and other income sources.
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