Application to Quick Connect Foster Care License Portal
https://azquickconnect.azdes.gov/
By submitting this application you are requesting access to ARIZONA Quick Connect Licensing Portal to apply for a family foster care license: www.azquickconnect.azdes.gov.
Applicant A
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First Name
Middle Name
Last Name
Applicant A Date of Birth:
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Applicant A Social Security Number: *Why We Ask for Your SSN: Your Social Security Number is used solely for identity verification and required for creating the foster care license application. We use bank-level encryption to protect your data, and all information is stored in a HIPAA-compliant secure system. We will never sell or share your information.
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Applicant A Gender:
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Marital Status/ Date of Marriage if applicable:
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Applicant B (if applicable):
First Name
Middle Name
Last Name
Applicant B Date of Birth (if applicable):
Applicant B Social Security Number (if applicable):
Gender (if applicable):
Phone
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Email
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Home Address
Submit
Should be Empty: