The Arizona Application for Withdrawal is a form issued by the Arizona Department of Revenue that is used by taxpayers to withdraw funds from certain accounts, such as Individual Retirement Accounts (IRAs) and Health Savings Accounts (Has). It is a required form for all Arizona residents when withdrawing funds from these accounts. There are two types of Arizona Application for Withdrawal available: one for Traditional IRA withdrawals and one for Roth IRA withdrawals. The form requires the taxpayer to fill in personal information, including name, address, and Social Security Number, as well as type of account, amount of withdrawal, and intended use of funds. Once completed, the form must be submitted to the Arizona Department of Revenue for processing.