Arizona
Arizona Independent Provider Program
In this section
- Overview
- Program Documents
- Electronic Visit Verification (EVV)
- News
- Contact Information
Program Documents
For Members/Employers
For Independent Providers
- AZ DDD Employment Packet
- AZ DDD Direct Deposit Form
- Provider's Withholding Allowance Certificate IRS Form W-4
- Provider's AZ Withholding Percentage Election FORM A-4
- USCIS Form I-9
- USCIS Form I-9 Instructions
- USCIS Form I-9, Spanish (FOR REFERENCE ONLY)
- USCIS Form I 9 Instructions, Spanish (FOR REFERENCE ONLY)
- Checklist To Complete I-9 Form
- Instructions To Complete I-9 Form
- AZ Power Of Attorney
- AZ A-4 2022
Program Resources
Timesheet Information
Online Timesheet Information- BetterOnline™ Portal
*Some of the above links may take you to third-party operated websites.