Follow the steps to complete the MD DHS DHR/FIA 604-A form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the date at the top of the form, as well as the district office and the case manager's name. Provide the telephone number, case name, and the case number or AU number.
3. Indicate whether the minor parent option applies by checking ‘YES’ or ‘NO’ in the designated box.
4. In Section I, complete the authorization by signing your name as the parent or guardian and provide any required contact information.
5. Section 2 must be completed by a school official. They will need to fill in attendance details for the most recent marking period, including the period, days enrolled, grade level, and days absent.
6. If required, complete additional information about the student’s address, expected graduation date, and calendar month attendance by following the prompts provided.
7. Section 3 requires the school official's signature. They should also fill in their title and telephone number, and include the school's stamp if applicable.
8. Once all sections are completed, review the entire form for accuracy. You can then save changes, download, print, or share the form as needed.

Ready to complete your document? Start filling out the MD DHS DHR/FIA 604-A online now!