Ld’s Full Name (First, Middle, Last, Suffix) b. Birthdate c. Social Security Number d. Sex (M or F) e. City, County & State of Birth f. Who paid for the birth of child (Medicaid, Private Insurance, Mother, Father, Other)? g. When and where did the mother become pregnant? Date City County State h. Has the father completed a document admitting he is the father of the child, such as an Affidavit of Parentage or is there a court order establishing paternity? If yes, provide the following.
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How to fill out the MI DHS-1201 online
Filling out the MI DHS-1201 form for child support services can seem daunting, but this guide will help you navigate the process clearly and efficiently. By following these steps, you can complete the form online with confidence and accuracy.
Follow the steps to complete your application effectively.
- Click ‘Get Form’ button to access the MI DHS-1201 form and open it for editing.
- Begin by identifying your relationship to the children for whom you are applying. Select the appropriate option: custodial parent, non-custodial parent or alleged father, or other caretaker.
- If you are the custodial parent, complete all sections of the form, starting with Section A, which requires your personal information such as name, address, and contact details.
- For non-custodial parents or alleged fathers, fill in Section B with your details while omitting Section F. Ensure you accurately provide information such as social security number and date of birth.
- If you are an other caretaker, also complete all sections but ensure you add information about each parent not residing in the home in Section B.
- In Section D, provide detailed information about each child you are applying for support for. This includes their full name, birthdate, and health care coverage information.
- Proceed to complete Section E, which covers general information relevant to your situation, such as any previous benefits received.
- In Section F, custodial parents and caretakers must acknowledge their understanding regarding the processing of child support payments.
- Before submission, review all entries for accuracy and completeness. Once you are satisfied, save your changes, and choose to download or print the form as needed.
Start completing your MI DHS-1201 online today for a smoother child support application process.
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