Get Fc 1633d - California Department Of Social Services - State Of ...

Filling out the FC 1633D form is an important step in assessing eligibility for Supplemental Security Income (SSI) for children. This guide provides clear, step-by-step instructions on how to complete the form online, ensuring all necessary information is accurately captured.

Follow the steps to successfully complete the FC 1633D form online.

1. Press the ‘Get Form’ button to access the FC 1633D form and open it in your editing platform.
2. Begin by inputting the child's name, date of birth, and Social Security number in the designated fields.
3. Indicate whether this application is a fast track process by selecting 'Yes' or 'No'.
4. Collect and enter medical data, including the child's medical records numbers, names, addresses, and phone numbers of all healthcare providers who have treated the child in the last year. Take note of any medications and medical tests.
5. Gather educational information by listing the names, addresses, and phone numbers of schools the child attended in the last 12 months, along with details of educators and professionals involved in the child’s education.
6. For employment and financial data, include names and contact information for any employers, proof of income, and relevant documentation such as a birth certificate or custody court order.
7. Determine the child's likely eligibility for SSI by checking the appropriate box for 'Yes' or 'No' and provide any conditions that may qualify the child.
8. Ensure the employee signature, printed name, identification number, and classification are accurately filled out, along with the date.
9. Once all sections are completed, save your changes, and prepare to download, print, or share the form as needed.

Complete the FC 1633D form online to begin the SSI assessment process seamlessly.