Get Dhs 4713

The Dhs 4713 is an essential form for documenting services related to independent living and youth in transition funding for individuals aged 14 to 21 who have been in out-of-home placements. This guide provides a systematic approach to completing the form effectively online.

Follow the steps to fill out the Dhs 4713 with ease.

1. Click ‘Get Form’ button to obtain the Dhs 4713 and open it in the editor for editing.
2. Begin by entering the date when the foster care case was opened. This helps to document the timeline of the youth's care.
3. Next, input the date when the foster care case was closed, if applicable.
4. Provide the last name and first name of the individual for whom the form is being completed. Ensure accuracy in spelling.
5. Enter the case number associated with the individual’s foster care case.
6. Fill in the social security number to verify identity and access services.
7. Input the date of birth, making sure to use the correct format to avoid processing delays.
8. Indicate the county of supervision where the youth is or was placed.
9. Complete the address, including number and street, to provide the location of the youth.
10. Fill in the city and county of residence to detail the current location of the youth.
11. Provide the zip code to ensure accurate mail delivery and documentation.
12. Enter the phone number for ease of contact regarding the case.
13. Select the relevant options for open and closed case services, ensuring accurate documentation.
14. Fill in the name of the contract agency and the respective worker handling the case.
15. Document the phone number of the contract agency worker for reference.
16. Indicate the sex of the youth, selecting from the predefined options.
17. Provide legal status of the youth, ensuring to select the most applicable category.
18. Indicate Hispanic ethnicity if applicable with a simple ‘Yes’ or ‘No’ selection.
19. If the youth is multiracial, check all applicable races that represent their identity.
20. Document any disabilities that the youth may have, selecting from the list provided.
21. Indicate the marital status, choosing from the available options.
22. Input the number of children, if applicable.
23. Select if the youth is pregnant or expects to have a child.
24. Choose the current living arrangement from the options provided in the form.
25. Confirm whether the individual has completed high school or is pursuing educational goals.
26. Indicate the status of G.E.D. completion, if relevant.
27. Specify if the youth is attending school full-time or part-time and the school type.
28. Provide information on employment status, including rate of pay if applicable.
29. List other income sources and the respective monthly amounts.
30. Finalize your entries by ensuring all necessary receipts and documentation are attached as specified.
31. After completing the form, save your changes, and download or print a copy for your records.
32. Submit the completed Dhs 4713 form to the appropriate Michigan DHS address provided at the end of the document.

Complete your documents online and ensure accurate submission for timely processing.