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Get Annual Family Program Fee Implementation - California Department Bb - Vmrc
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How to fill out the Annual Family Program Fee Implementation - California Department Bb - Vmrc online
This guide provides clear and comprehensive instructions on filling out the Annual Family Program Fee Implementation form for the California Department of Developmental Services. Designed for users of all backgrounds, this document will help ensure the process is straightforward and user-friendly.
Follow the steps to successfully complete the form online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Review the instructions provided at the top of the form. Ensure you understand the requirements for the Annual Family Program Fee assessment, especially concerning family income and child eligibility.
- Fill in the section for consumer information with the required details, including the names and unique client identifiers (UCI) of each child receiving services.
- Indicate the adjusted gross family income based on your family's size. Use the provided Federal Poverty Level chart to determine the applicable fee.
- Complete the remittance form, ensuring you include the payment amount based on the assessed fee. This may be $200, $150, or $0, depending on your family's income level.
- Print the completed form duplex (two-sided) as required, ensuring that all necessary sections are filled out correctly.
- Prepare the form for mailing by placing it in the provided envelope. Make sure you include the correct address for the Department of Developmental Services.
- Once you have reviewed the form for accuracy, save any changes made, download a copy for your records, and print as necessary.
- Mail the completed form and payment together to the specified address to ensure proper processing.
Complete your Annual Family Program Fee Implementation form online today to ensure timely processing.
Families with annual incomes at or above 800 percent of the Federal Poverty Level (FPL) are assessed an annual fee of $200.00. Families with incomes between 400 and 799 percent of the FPL are assessed an annual fee of $150.00. Families with incomes below 400 percent of the FPL are not assessed a fee.
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