Get Ei Closure Form

Filling out the Ei Closure Form online can streamline the closure process for early intervention cases. This guide offers clear, step-by-step instructions on how to accurately complete each section of the form.

Follow the steps to successfully complete the Ei Closure Form.

1. Press the ‘Get Form’ button to obtain the form and open it in your preferred editing tool.
2. Enter the date of birth (DOB) and EI number (EI#) in the designated fields at the top of the form. Ensure this information is correct, as it relates directly to the child’s records.
3. Fill in the submission date and the name of the service coordination (SC) agency as these are important references for processing the closure.
4. Provide the child’s full name in the designated field (Last, First), and specify the effective date of closure. This helps to establish the timeline of services.
5. Include the SC’s name and telephone number for any follow-up inquiries regarding the case.
6. In section I, indicate the early intervention program case closure reason by selecting one option. Refer to Appendix A for possible reasons if you are filling out the form by hand.
7. Ensure that, if the case is being closed after developing an Individualized Family Service Plan (IFSP), the relevant transitions and updates have been documented.
8. Obtain the parent’s signature in the designated area. If the parent is unavailable for signature, provide a brief explanation and collect any necessary documentation to support this.
9. Complete section II regarding Transfer to At-Risk services. Indicate if the parent was informed and whether there are any objections to this referral.
10. Select all risk indicators that apply based on the child's history and current status. This section is crucial for determining continued support needs.
11. Review all entered information for accuracy before proceeding. Once confirmed, you can save changes, download the completed form, print it, or share it as necessary.

Complete the Ei Closure Form online today to ensure a smooth transition for your child.