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How to fill out the Annual Family Program Fee online

Completing the Annual Family Program Fee form is a necessary process for parents of qualifying children under 18 years of age in California. This guide will help you understand each component of the form and provide step-by-step instructions for filling it out accurately online.

Follow the steps to complete the Annual Family Program Fee form.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering the consumer name(s) in the designated field. Ensure to provide the full name of each qualifying child for accurate processing.
  3. Next, fill in the RC number that corresponds to the consumer name(s). This number is vital for identifying your case within the developmental services system.
  4. Proceed to fill out the details for Parent 1. Include their name, date of birth, and social security number as required by the form.
  5. Continue by entering the address for Parent 1, including street, city, state, and zip code. Make sure this information is current to avoid any processing delays.
  6. Input the phone numbers for Parent 1 under the appropriate sections for home, work, and mobile. An email address should also be provided.
  7. Repeat steps 4 to 6 for Parent 2, ensuring all information matches exactly as it appears on official documents.
  8. Once all required information is entered, each parent should provide their signature and date it in the designated areas at the bottom of the form.
  9. Finally, review your entries for accuracy. Once confirmed, you may save changes, download, print, or share the completed form as needed.

Complete your Annual Family Program Fee form online today to ensure your application is processed smoothly.

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Annual Program Fee means the annual fee paid for Process Surveillance and Regulatory Support as specified in Sections 3(b) and 3(c) and disposal fees, as set forth in Attachment 1.

Who Must Pay an Annual Fee? If your son or daughter is under 18 years of age and living at home, is an active client of the regional center AND receives a purchased service through the regional center other than assessment, respite, or day care, you may be assessed a $200 annual family program fee.

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