Get Form 06da031e

This guide provides clear, step-by-step instructions on completing the Form 06da031e, designed for users seeking family support assistance for children with developmental disabilities. Follow the outlined steps to ensure a smooth application process.

Follow the steps to complete the Form 06da031e online.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Begin with Section 1, where you will provide child information. Fill in the last name, first name, middle initial, date of birth, age, race, gender, and Social Security number for the child with developmental disabilities. Indicate whether the child is adopted, if they receive an adoption subsidy or medical subsidy, and confirm if they live in your home.
3. Proceed to Section 2, which requires details about the parent or legal guardian who will be assigned as the payee. Fill in their last name, first name, middle initial, date of birth, relationship to the child, and Social Security number. Additionally, provide the area code and phone number, as well as the street address, city, state, zip, and county.
4. If applying for more than one child, complete Section 3 for each additional child. Similar to Section 1, provide all required details such as last name, first name, middle initial, date of birth, age, race, gender, Social Security number, adoption status, and whether they live in your home.
5. In the declaration section, affirm that the information provided is accurate. Remember, any changes must be reported within ten days. Sign and date this section as the parent or guardian.
6. Move on to Section 4, where you will gather the necessary attachments for each child. Ensure you include a copy of the child's birth certificate (unless already receiving services), the most recent federal income tax return, various verification documents, the child's Social Security card, and any legal guardianship documentation.
7. Finally, complete Section 5, which requires a professional to verify the child's developmental disability. Have the designated doctor or school representative fill in the required information, sign, and date it.
8. After filling out the form and ensuring all sections are complete, save your changes, download, print, or share the form as needed for submission.

Complete your application for family support assistance by filling out the Form 06da031e online today.