2021 Statute Change Request Form

* required field

Name

First Name *

Last Name *

Contact Information

Email *

Program Unit

Program Unit *

Please provide the program unit requesting this change.

Statute

If you know the Arizona Revised Statute that is associated with the change you are requesting, please provide it here.

A.R.S.

Proposed Changes

Proposed Changes *

Please provide the changes you are proposing.

Reason for Proposed Changes

Explanation *

Please provide the reason you are requesting this policy change.

Leave this field blank