Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Division of Developmental Disabilities (DDD), Arizona Department of Economic Security (DES) before sending sensitive documents. FaxFlow is not affiliated with this organization.
Division of Developmental Disabilities (DDD), Arizona Department of Economic Security (DES) fax number
(602) 277-0026
Office of Administrative Review
Used for: State Fair Hearing written request for an appeal of ALTCS/Notice of Decision; include Re: Request for State Fair Hearing, DDD Appeal Number, Member Name and AHCCCS ID
Fax destination details
- Department
- Office of Administrative Review
- Purpose
- State Fair Hearing written request for an appeal of ALTCS/Notice of Decision; include Re: Request for State Fair Hearing, DDD Appeal Number, Member Name and AHCCCS ID
- Form
- State Fair Hearing request — Request for State Fair Hearing
- Address
- 4000 North Central Avenue, 3rd Floor, Suite 301 - Mail Drop 2HE5, Phoenix, Arizona 85012
- Voice phone
- 602-771-8163
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
In the written request, reference 'Re: Request for State Fair Hearing', include the DDD Appeal Number, and the Member Name and AHCCCS ID. Submissions may be mailed, emailed, or faxed to the Office of Administrative Review.
Official form instructions are published as a downloadable file on the organization's website.
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