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Get Md Dhs Dhr/fia 604-a 2005
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How to fill out the MD DHS DHR/FIA 604-A online
Filling out the MD DHS DHR/FIA 604-A form is essential for verifying school attendance for children ages 7 to 18. This guide provides a step-by-step approach to assist you in completing this form efficiently and accurately online.
Follow the steps to complete the MD DHS DHR/FIA 604-A form.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by entering the date and local district office details at the top of the form. This section ensures that your submission is directed to the appropriate office.
- Fill in the case manager's name and telephone number, which facilitates communication regarding the processing of this form.
- Provide the case name and case number/AU number, ensuring that the form is linked to the correct case.
- Indicate whether the individual is a minor parent by selecting ‘YES’ or ‘NO’ within the designated box.
- In Section I, enter the child's name, date of birth, and social security number. This information is crucial for identification purposes.
- As the parent or guardian, sign below the authorization statement to permit the school to share attendance details with the Department of Social Services.
- Proceed to Section II to be completed by a school official. Record the attendance details for the most recent marking period, including days enrolled and days absent.
- Document the grade level and ensure the student's telephone number is filled in for further communication.
- If applicable, complete the section regarding expected graduation dates, attendance for the most recently completed month, and if the parent/guardian is working to improve attendance.
- Gather the contact information for the student’s parent/legal guardians, including names and work telephone numbers.
- In Section III, the school official must sign and include their title, school name (which can use a school stamp), and telephone number.
- Review all sections for accuracy before saving. You may download, print, or share your completed form as needed.
Complete your MD DHS DHR/FIA 604-A form online today for a smooth submission process.
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