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How to fill out the DDA Application online
The Developmental Disabilities Administration (DDA) Application is essential for determining eligibility for various services. Completing this form online is straightforward, and this guide will help you through each section with clarity and support.
Follow the steps to complete the DDA Application online.
- Press the ‘Get Form’ button to access the form and open it for completion.
- Begin by filling out Part I, which requires your personal information, including your full name, date of birth, social security number, and permanent mailing address. Make sure to provide accurate contact details.
- In Part II, conduct a self-assessment by checking off any disabilities you have been diagnosed with. If applicable, attach supporting documentation as indicated in the section.
- In Part III, identify any other agencies or programs from which you are currently receiving or have previously received services. Check the appropriate boxes to indicate your status.
- Part IV requires you to authorize DDA to obtain relevant information from professionals or agencies by completing the authorization details. Insert necessary information about the individuals you are granting access to.
- Provide information about your primary caregiver, legal guardian, or contact person in Part V, ensuring that you select the most appropriate title for their role.
- Complete Part VI with statistical information, including the applicant's sex, origin, race, and marital status.
- Finally, review and sign the signature section in Part VII, affirming the accuracy of the provided information. Ensure that all sections of the application are filled accurately before submitting.
- Once completed, save your changes, download the document for your records, and print or share the form as needed.
Complete your DDA Application online today to ensure timely access to services.
Developmental Disabilities Administration (DDA) Overview DDA services are varied, among them employment services, assistance providing personal care, respite services, environmental modification, and housing. Contacting DDA: PHONE: 1-800-974-4428.
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