KE AND REFERRAL FORM Thank you for requesting the services of this agency. We understand that not all of the information asked for on this form may be available at the time of the referral. Nevertheless, please fill it out as completely as possible since eligibility for the public guardianship program mandated by certain Florida Statutes the information requested assists us expediently making a determination. Please note that the acceptance of a potential Ward into the public guardianship progra.
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How to fill out the FL Aging Solutions Guardianship Intake And Referral Form online
Filling out the FL Aging Solutions Guardianship Intake And Referral Form online can seem daunting, but this guide will help you through each section. Providing accurate and complete information is essential to ensure timely processing of your request for guardianship services.
Follow the steps to successfully complete the form online.
- Press the ‘Get Form’ button to access the form and open it in your chosen editor.
- Enter the information for the petitioner who will be representing the case in court. Provide their name, address, telephone number, and email address. This section is crucial as incomplete information may delay your application.
- In the client information section, fill in the client’s full name, gender, age, race, and any known aliases. Also, provide their current location and birth date. Remember to specify if the client is a U.S. citizen.
- Indicate the client's marital status and the length of time they have lived at their current address. Also, include any religious preference and birthplace.
- Document the client’s current and previous addresses, attending physician’s details, and any relevant occupational history.
- Identify anyone currently living with the client and provide their contact information, if applicable.
- List family members or significant others by providing their names, addresses, and telephone numbers. This is important for maintaining a network of support.
- Explain why the client requires a guardian. Be thorough and specific, as this justification is vital for the evaluation process.
- Complete the additional comments section to share any further information that may assist in the review of the referral.
- Provide medical information, including doctor's and dentist's contact details, any diagnoses, allergies, and medical history.
- Fill in the client’s financial data including Social Security number, income sources, and any assets they may have.
- Identify if a Representative Payee is involved, and if so, provide the name and details.
- Classify the case according to the type of agency involved.
- Finally, review all information for accuracy and completeness before saving the changes, downloading the form, or printing it for submission.
Complete the FL Aging Solutions Guardianship Intake And Referral Form online today to begin the process.
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