Get Dhs Form 470 0719

Filling out the Dhs Form 470 0719 online can streamline the process of establishing an agreement with an agency for the placement of a child. This guide will provide you with the detailed steps necessary to accurately complete each section of the form.

Follow the steps to successfully complete the Dhs Form 470 0719.

1. Press the ‘Get Form’ button to obtain the document and open it for editing.
2. Begin by entering the child's name in the designated field, followed by their birthdate. Ensure that you spell the name correctly to avoid any legal discrepancies.
3. Next, indicate the date of placement. This date is crucial as it marks the official start of the child’s care under this agreement.
4. Fill out the service number, program code, and service code as required. These details help identify the specific services covered under this agreement.
5. In the designated area, state the names of the parties involved in the agreement, including the Iowa Department of Human Services and the provider agency.
6. As you move on to the agreement sections labeled A, B, and C, carefully outline the responsibilities and obligations of the agency. Ensure that you provide accurate and comprehensive information.
7. Continue filling out the obligations of both the provider agency and the Department. Take special care in detailing the agency's responsibilities for the child’s care and reporting.
8. After completing all sections of the form, review your entries for accuracy and completeness.
9. Once satisfied, you can save the changes to the form. You may also choose to download, print, or share the document as needed.

Start processing your documents online today for an efficient experience.