Form Hpz-034-A-Pf - Arizona Taxonomy Of Human Services - Request For A New Or Revised Program/cluster/service Page 2

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FOR NEW SERVICES/PROGRAMS
HPZ-034-A-PF (10-16) — Page 2
What other existing services were reviewed?
Why won’t the proposed service fit into an existing service title(s)? What is unique about the activities of this service
that makes it different from an existing service(s)?
FOR CHANGES TO EXISTING SERVICES/PROGRAMS (INCLUDING DELETIONS OF SERVICES):
What is the reason/justification for the change?
SUBCOMMITTEE RECOMMENDATION:
N/A
ACCEPT
REJECT
Reasons for Recommendation (Acceptance or Rejection)
PRO:
ASSIGNED TO:
Cluster:
Program:
CON:
(If Rejected, attach detailed justification)
Chair:
Date:
ARIZONA TAXONOMY COMMITTEE ACTION:
ACCEPT
REJECT
Reasons for Recommendation (Acceptance or Rejection)
PRO:
ASSIGNED TO:
Cluster:
Program:
CON:
(If Rejected, attach detailed justification)
Chair:
Date:
APPEALS PROCESS:
ACCEPT
REJECT
NOT REQUESTED
Reason for decision:
Equal Opportunity Employer/Program • Under Titles VI and VII of the Civil Rights Act of 1964 (Title VI & VII), and the Americans
with Disabilities Act of 1990 (ADA), Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and Title
II of the Genetic Information Nondiscrimination Act (GINA) of 2008; the Department prohibits discrimination in admissions,
programs, services, activities, or employment based on race, color, religion, sex, national origin, age, disability, genetics and
retaliation. To request this document in alternative format or for further information about this policy, contact 602-542-3882; TTY/
TDD Services: 7-1-1. • Free language assistance for DES services is available upon request. Ayuda gratuita con traducciones
relacionadas con los servicios del DES esta disponible a solicitud del cliente.

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