Get Transmittal Sheet Form

This guide provides comprehensive instructions for users on how to complete the Transmittal Sheet Form online. It is designed to assist individuals in accurately filling out each section of the form to facilitate the submission process.

Follow the steps to complete the Transmittal Sheet Form effectively.

1. Press the ‘Get Form’ button to access the Transmittal Sheet Form in an online editor.
2. Identify the submitting agency section at the top of the form. Ensure you complete this section with the relevant details for the agency submitting the form.
3. Locate the types of cases listed on the form. You must check one box for each batch you are submitting. Options include 'MA ONLY', 'PA ONLY', 'AUDIT CASE', 'MBI-WPD', 'OVER 65', and 'CHILD CASE'.
4. Enter the date you are sending the form in the designated date field. Ensure this is current and accurate.
5. For Adult Cases: Attach the necessary documents, including the DSS-1151 Disability Interview form, DSS-486T Medical Report, and any available supporting medical evidence. For Child Cases: Attach the DSS-1151 Disability Interview form, Childhood Medical Report, Childhood Activity Report, and the Questionnaire of School Performance.
6. If this is a Continuing Disability Review (CDR) case, submit the entire case record along with any previous DSS-639 Disability Review Team Certificates.
7. Make two copies of each completed transmittal sheet to ensure compliance with submission requirements.
8. In the 'For Agency Completion' section, fill in the name of the client using surname and first name. Additionally, provide the case number and select the disability type (MI, PI, MI/PI).
9. In the review team determinations section, indicate the disability type, case type (N for New, CDR for Continuing Disability Review), and the results of the decision (I, II, DIS, NA).
10. Enter any relevant details under 'Telephone No.' and ensure all fields comply with formatting guidelines before finalizing the form.
11. Once all necessary information is filled out, you can save your changes, download the form, print it out, or share it as needed.

Complete your documents online today for a smoother submission process.