Get Md Dhr/fia 604 2016-2026

The MD DHR/FIA 604 form is essential for determining the eligibility of students for various programs administered by the Department of Social Services. Completing this form accurately is crucial to ensure timely processing of the eligibility request. This guide offers clear, step-by-step instructions on how to fill out the form online.

Follow the steps to complete the MD DHR/FIA 604 form online effectively.

1. Click ‘Get Form’ button to access the MD DHR/FIA 604 form and open it in your preferred online editor.
2. Fill out SECTION I with the worker's name, district office, worker's phone number, category, case number, and case name. This information identifies the case and the assigned worker.
3. In SECTION II, if the student is under 18, a parent must provide consent by writing their name and signing. If the student is over 18, they can authorize the school to release information by completing this section on their own.
4. In SECTION III, the school must provide information about the student. Start by selecting the type of enrollment from the corresponding options: secondary school, vocational school, or technical school.
5. Indicate whether the student is enrolled full-time by selecting 'Yes' or 'No'. Also, enter the expected date of graduation in month and year format.
6. Provide the student's attendance record by selecting the appropriate option — either regularly attends or not attending.
7. Fill in the home address, city, state, zip code, and telephone number for the student.
8. List the full names of all parents or legal guardians associated with the student along with their work phone numbers.
9. Include emergency phone numbers for contact in case of urgent situations.
10. Finally, ensure that the form is stamped with the name and address of the school institution, as required.
11. Once all sections are completed, review the form for accuracy, save the changes, and opt to download, print, or share the completed form.

Start completing the MD DHR/FIA 604 form online now to ensure an accurate submission.