Get Dch 1181

The DCH 1181 is an essential form for individuals seeking support through the Family Support Subsidy Program. This guide will provide you with clear, step-by-step instructions on how to complete the form online to ensure a smooth application process.

Follow the steps to complete your DCH 1181 application online.

1. Click ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Indicate the purpose of your application by checking the appropriate box: NEW APPLICATION, ANNUAL RENEWAL, RESTORE, or CHANGE OF STATUS. For a change of status, document the necessary block number(s).
3. Provide your child's name including their first name, middle initial, and last name.
4. Enter your child's date of birth using the format Month/Day/Year.
5. Input your child's social security number. Note that you can apply for the Family Support Subsidy while registering for a social security number.
6. Select your child's gender, choosing between Male or Female.
7. Fill in your primary telephone number with the area code included.
8. Optionally, indicate your child's race by selecting from the specified categories, or leave it blank.
9. Name the public school that signed the Multi-disciplinary Evaluation Team (MET) report.
10. Provide the name of the parent/guardian applying. This individual will be the sole payee for FSS payments unless otherwise indicated.
11. Enter the social security number of the parent/guardian named in the previous step.
12. Print the address where your child resides, which must be the same as the parent/guardian's address.
13. State whether your family has changed residence in the last year, and if yes, provide the previous city.
14. Specify whether your child is adopted by marking YES or NO.
15. If your child is adopted, confirm if they are receiving a medical subsidy through the Adoption Subsidy Program.
16. Check the income bracket that corresponds to your taxable income as listed on your most recently filed tax form.
17. Confirm that your child lives in Michigan with one or both of the persons listed previously, marking YES or NO.
18. Read and understand all terms laid out, indicating your consent with your signature and the date.
19. Sign and date the application as the parent/guardian listed in step 10.
20. If applicable, have the other payee sign and provide their details in this section.
21. Once the form is completed, gather any required documents such as your Michigan income tax return, your child's birth certificate, and their social security card.
22. Submit the completed form and documents to the county community mental health services program representative that provided you with this form.

Complete your DCH 1181 application online today to take advantage of available support.