Get Dhs 626

The Dhs 626 form, also known as the young adult voluntary foster care payment authorization, is essential for processing payments related to foster care services. This guide provides clear, step-by-step instructions on how to complete this form online, ensuring that users of all experience levels can navigate it effectively.

Follow the steps to successfully complete the Dhs 626 form.

1. Press the ‘Get Form’ button to access the Dhs 626 document and open it in your preferred online editor.
2. Enter the case number in the designated field to uniquely identify the foster care case.
3. Input your customer ID number, which will help in tracking and managing your case information.
4. Add the SWSS log number to ensure the documentation is properly recorded.
5. Fill in the case name, using the format of last name, first name, and middle initial.
6. Provide the date of birth of the individual involved in the case.
7. Indicate the legal status as appropriate for the situation.
8. Select the funding source that applies to this case.
9. Enter the county where the services will take place.
10. Fill in the provider number responsible for the services.
11. Name the provider offering services to the individual.
12. Provide the social security or federal ID number associated with the individual.
13. If applicable, fill in the supplemental address for communication purposes.
14. Specify the begin date and end date for the authorized payments.
15. Indicate the ward children involved in the case by listing them.
16. Fill in the district and city where the service is provided.
17. Enter the section, state, unit, and zip code related to the case.
18. Select whether the independent living allowance should be mailed to the administrative rate only (Yes/No).
19. Input the age-appropriate rate, administrative/institutional rate, and determination of care rate with respective dollar amounts.
20. Provide total budgetable income in the relevant field.
21. Calculate and enter the total daily rate to summarize the payments authorized.
22. Add any comments if necessary for additional context regarding the case.
23. List payment reasons and service codes as required.
24. Ensure the local office worker signs and dates the document, along with their phone number.
25. Acquire the necessary signatures from the supervisor, local office director, district manager, and potentially a central office representative, ensuring each is dated.
26. Once completed, save any changes, and download, print, or share the form as required.

Complete your Dhs 626 form online today to streamline your foster care payment process.