Get Conditions Of Acceptance For The Arizona ... - Acdhh

Filling out the CONDITIONS OF ACCEPTANCE for the Arizona Telecommunications Equipment Distribution Program is an important step for recipients to obtain necessary devices. This guide will walk you through completing the form step-by-step, ensuring a clear understanding of each component and requirement.

Follow the steps to successfully complete your form.

1. Click ‘Get Form’ button to access the document. This will allow you to obtain the form and prepare it for editing.
2. Begin by reading the introductory instructions carefully. It is crucial to understand that the form creates an agreement between you and the State of Arizona as a recipient of a device.
3. Fill out your full name in the designated area, ensuring it is clearly printed. If you are a minor, your parent or guardian must sign on your behalf.
4. Review the residency requirements section. You must confirm that you are a resident of Arizona and can provide proof, such as an Arizona ID or utility bill.
5. Complete the sections pertaining to property and voucher eligibility. You will need to acknowledge that any equipment you receive becomes your personal property starting the sixth year, and you are only eligible for one voucher every five years.
6. Fill in details regarding your responsibilities related to damage, repair, loss, and theft. Be aware that you will be financially responsible for any loss or damage to the devices.
7. Address the travel and change of address sections. Acknowledge that you cannot take the devices out of state for more than ninety days and that you must notify the program of any address changes within thirty days.
8. Agree to the liability terms by confirming that you will not hold the program or the State of Arizona responsible for any claims arising from the use of the devices.
9. After completing all fields, check the form for accuracy. Once everything is filled out correctly, print the form for your records.
10. Finally, sign and date the form, and mail it to the specified address provided in the document.

Complete your CONDITIONS OF ACCEPTANCE form online today to ensure you receive the necessary equipment.