Ariz. Admin. Code § R6-6-403 - Documentation and Verification

The applicant shall provide documentation of the following:

1. Lawful presence of the person to whom services are to be provided, as required by A.R.S. § 1-502.

1. 2. Residency. An applicant shall:

a. Verify current residency and intent to remain in Arizona by signing the application.

b. At the request of the Department, provide additional documentation demonstrating Arizona residency of the person to whom services would be provided.

i. Rent or mortgage receipt, or lease in the applicant's name showing the residential address;

ii. Non-relative landlord statement indicating the applicant's name and address as well as the landlord's name and address and telephone, if available;

iii. Applicant's Arizona driver's license; iv. Applicant's Arizona motor vehicle registration;

v. Signed employment statement from applicant's non-relative employer;

vi. Utility bill in the applicant's name indicating the applicant's address;

vii. Current phone directory showing applicant's name and address;

viii. United States Post Office records which show the applicant's name and address;

ix. A current city directory showing the applicant's name and address;

x. Certified copy of a church membership or enrollment record which indicates the applicant's current name and address; or

xi. Certified copy of a school record which indicates the applicant's current address; or

c. If an applicant has made all reasonable efforts to obtain documented verification as described in subsection (1)(b) and has been unsuccessful, the affidavit signed by the applicant attesting to the applicant's present residence and intent to remain in Arizona shall be sufficient.

2. Age.

a. An applicant shall provide proof of age of the person to receive services by the following:

i. Alien documents;

ii. Federal or state census records;

iii. Hospital records of birth;

iv. Copy of birth certificate;

v. Military records;

vi. Notification of birth registration;

vii. Religious records showing age or date of birth;

viii. Dated school records showing age or school records showing date of birth;

ix. Affidavit signed by the licensed physician, licensed midwife or other health care professional who was in attendance at the time of the birth, attesting to the date of birth; or

x. U.S. Passport.

b. If an applicant has made all reasonable efforts to obtain documented verification as described in subsection (2)(a) and has been unsuccessful, an affidavit signed by the applicant shall be sufficient to verify age of person to receive services.

3. Health Insurance Coverage. An applicant shall provide information regarding current health insurance coverage for the person to whom services would be provided, as required in Article 13 of this Chapter.

4. Income. The Division shall require documentation of income as provided in R6-6-1201 et seq.

Notes

Ariz. Admin. Code § R6-6-403

Adopted effective February 2, 1989 (Supp. 89-1). Section repealed, new Section adopted effective June 7, 1993, under an exemption from A.R.S. Title 41, Chapter 6 (Supp. 93-2). Renumbered from R6-6-405 by 26 A.A.R. 1871, effective 10/20/2020.