Get Division For Developmental Disabilities Personal Needs - Imagine

Filling out the Division For Developmental Disabilities Personal Needs - Imagine form online can be a straightforward process if you understand each section clearly. This guide provides step-by-step instructions to help you complete the form efficiently and accurately.

Follow the steps to successfully complete the form online.

1. Click the 'Get Form' button to obtain the Division For Developmental Disabilities Personal Needs - Imagine form and open it for editing.
2. Begin by filling out the 'Name of Person in Services' field. Ensure to input the complete name of the individual receiving services, as this is crucial for identification.
3. Next, provide the 'Address' of the individual. It is important to ensure the address is accurate for proper documentation and follow-up.
4. You will encounter a section asking if you want the provider staff to manage your money or belongings. Clearly state your choice by checking the appropriate option.
5. If you choose to allow someone else to manage your funds, fill in the 'Name and Address of Authorized Representative'. This is necessary for accountability.
6. Proceed to the 'Authorization of Provider for Personal Needs Funds Administration' section. Here, you will allow a provider to manage your funds and must sign to confirm your agreement.
7. Sign and date the document either yourself or if a legally authorized representative is involved, their name and signature must also be included.
8. Review all completed sections for accuracy and clarity before moving on to any additional required pages, such as consent forms for purchases.
9. After completion, you will have the option to save any changes made to the form. You may also choose to download, print, or share the completed form as needed.

Complete your Division For Developmental Disabilities Personal Needs - Imagine form online today for efficient and accurate documentation.