We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • Form Approved Omb No 0960

Get Form Approved Omb No 0960

Pe and date of test or evaluation performed (e.g., vision, hearing, speech, physical). a. Public/Community Health Department Yes No b. Child Welfare/Social Services Agency Yes No c. Developmental Evaluation Center Yes No d. Mental Health/Intellectual Disability Yes No e. Special Needs/Crippled Children Agency Yes No f. Speech and Hearing Center Yes No g. Women, Infants and Children (WIC) Program Yes No Use the letter designation (5a, 5b, etc.) to identify the agency. If add.

This website is not affiliated with any governmental entity

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Form Approved Omb No 0960 online

Filling out the Form Approved Omb No 0960 is a crucial step in claiming SSI benefits for children. This guide provides comprehensive instructions on each section of the form to ensure that you complete it accurately and efficiently.

Follow the steps to effectively complete the form online:

  1. Click the ‘Get Form’ button to access the form and open it in your preferred editor.
  2. Begin by entering the child's full name in the designated field. This is crucial as it links the application to the correct individual.
  3. Provide the informant's name, their relationship to the child, and the informant's social security number. This identifies who is completing the form.
  4. Fill in the daytime telephone number including the area code for any follow-up communications.
  5. In Section 1, indicate if the child was cared for by a babysitter or attended any preschool, daycare, or after-school program. Use the ‘REMARKS’ section for any additional details.
  6. For Section 2, specify if the child is in school and fill in the school's name, address, grade level, and last teacher’s name if applicable.
  7. Indicate if the child is in a special education program and provide details of any accommodations.
  8. Answer whether the child receives special counseling or tutoring, and include counselor or tutor details.
  9. In Section 4, provide information if the child has a caseworker from child welfare, social services, or similar organizations.
  10. For Section 5, list any agencies or organizations that have tested or evaluated the child, including names and types of tests.
  11. In Section 6, describe any therapies the child receives and provide details about the therapists involved.
  12. Indicate if the child has received vocational rehabilitation services and describe the services received.
  13. Section 8 is optional but detail any court involvement if applicable.
  14. In Section 9, outline the child's participation in community or school activities.
  15. List any ongoing medications in Section 10, including dosage, prescribing physician, and effectiveness.
  16. If another person assists in providing information about the child, include their details in Section 11.
  17. Use the ‘REMARKS’ section for any additional comments or clarifications needed.
  18. Once filled, review all sections for accuracy. Save changes and choose to download, print, or share the form as necessary.

Complete the Form Approved Omb No 0960 online to ensure your child's SSI benefits are processed efficiently.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Form Approved Social Security Administration OMB...
Form Approved. Social Security Administration. OMB No 0960-0777. Request for...
Learn more
Sample Standard Release of Information Forms
2005 Can be reproduced with permission. Form Approved. OMB No. 0960-0566. Social Security...
Learn more
CBSV Enrollment Application - Social Security
Form Approved. OMB No. 0960-0760. PLEASE TYPE IN THE NECESSARY INFORMATION. DATE: 1...
Learn more

Related links form

PMC LTC STC EMPLOYMENT APPLICATION FORM Michigan Child Care And Education Professional Development Record Volunteer Recruiter Interview Worksheet Omb 0703 0061 Fill Online

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Mail it to the nearest Social Security Admin. office with an explanation of where you found it, otherwise there is nothing else you need to do. Take it to the Social Security Office and dropped it off but let someone know that you found it.

In most cases, you can take or mail this signed application with your documents to any Social Security office. Any documents you mail to us will be returned to you. Go to https://secure.ssa.gov/apps6z/FOLO/fo001.jsp to find the Social Security office or Social Security Card Center that serves your area.

You can get your personal Social Security Statement online by using your my Social Security account. If you don't yet have an account, you can easily create one. Your online Statement gives you secure and convenient access to your earnings records.

Individuals use Form SSA-795 to make signed statements relating to claims for Social Security benefits or Supplemental Security Income (SSI) payments under 20 CFR 404.702 and 416.570 of the Code of Federal Regulations.

Your new Social Security card should arrive in the mail in 10 to 14 days. There is no charge. For mail requests, Social Security requires that you send in original documents or copies certified by the agency that issued the document. Photocopies, even if notarized, are not accepted.

SSA and its affiliated State disability determination services use Form SSA-827, "Authorization to Disclose Information to the Social Security Administration (SSA)" to obtain medical and other information needed to determine whether or not a claimant is disabled.

You may call the Social Security Electronic Records Express Help Desk at 1-866-691-3061 or send them an email at electronic-records-express@ssa.gov, or you should contact the office where you are sending the document or the office that requested the information.

You have a right to see everything in your Social Security Disability file and obtaining a copy of your records is relatively easy. You can request your records directly from the SSA by either calling the SSA's toll-free number at 1-800-772-1213 or by visiting your local Social Security office.

Mail: Submit your request using the SSA-711 to the Social Security Administration (SSA), OEIO, FOIA Workgroup, 6100 Wabash Ave, P.O. Box 33022, Baltimore, MD 21290-3022.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Form Approved Omb No 0960
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232