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How to fill out the Doddportal online
Filling out the DODD Notification of Individual Change in Status (NICS) form online can be a straightforward process when you have clear guidance. This guide provides you with step-by-step instructions to help you complete the form accurately and efficiently.
Follow the steps to successfully fill out the DODD NICS form online.
- Press the ‘Get Form’ button to access the form and open it in the editor.
- Begin by entering the individual’s first and last name in the designated fields, along with their DODD number and Social Security Number (SSN). Ensure that the information is accurate.
- Select the county where the individual resides from the dropdown menu provided.
- Identify the current waiver type by checking the appropriate box: Level 1, I/O, SELF, or TDD.
- In the section for disenrollment, select the reason for disenrollment that best fits the situation. Make sure to check the 'Voluntary' option only when the individual or guardian chooses to withdraw from waiver services without any other relevant reasons.
- If applicable, fill in the last date of waiver services and any related information, including place of death or other supporting details.
- If changing the DODD waiver type, indicate the current waiver and new waiver by checking the appropriate boxes, and provide the date that new waiver services are scheduled to begin.
- For voluntary disenrollments, secure signatures from the individual or legal guardian in the designated areas. Ensure the date of the signature is included.
- Double-check all entries for accuracy and completeness before proceeding.
- Once the form is completed, save the changes, and depending on your needs, choose to download, print, or share the form.
Start filling out your DODD NICS form online today for a quicker process.
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