Get 470-5079 Out-of-state Travel Permit And Agreement To Return - Dhs State Ia
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the 470-5079 Out-of-State Travel Permit and Agreement to Return - Dhs State Ia online
Filling out the 470-5079 Out-of-State Travel Permit and Agreement to Return is a necessary step for parents or guardians seeking permission for children to travel out of state. This guide provides step-by-step instructions tailored to assist users in completing the form accurately and efficiently.
Follow the steps to complete your form online with ease.
- Click 'Get Form' button to obtain the form, allowing you to open and edit it online.
- Fill in your name and title in the 'From' section, as well as the agency office or cluster and your contact phone number.
- Provide the name and sex of the child or children in the specified fields.
- Indicate the date of birth for each child listed.
- Select the DHS status of the child or children by checking either 'Custody' or 'Guardianship'.
- In the 'Present placement' section, check the appropriate box that represents the child's current living situation: 'Relative', 'Foster care', 'Residential (specify)', or 'Other (specify)'.
- Complete the location section with the street address, city, state, and zip code where the child currently resides.
- Grant permission for travel by specifying the state of travel, the start date, and the end date by filling in the corresponding fields.
- Provide the name, relationship, phone number, and address of the person with whom the child will be staying during the visit.
- State the reason for the visit and choose the mode of transportation.
- Include any special instructions if traveling to multiple locations, detailing them as necessary.
- Indicate consent for emergency medical treatment by selecting 'Yes' or 'No'.
- Sign the form in the designated areas for the parent or guardian, along with any additional signatures required.
- Complete the 'Completed by' section to acknowledge understanding and compliance with the terms set by Iowa DHS.
- Ensure that a case manager or supervisor witnesses the signature and includes their title and date.
- Finally, navigate to save changes, download, print, or share the form as needed.
Take the first step in streamlining your documentation by completing the 470-5079 form online today.
In Iowa, the Department of Human Services (DHS) oversees child welfare and public assistance programs. Depending on your need for permission to travel with a child, understanding the DHA's resources can enhance your planning. The 470-5079 Out-of-State Travel Permit And Agreement To Return - Dhs State Ia can assist with clarity in matters requiring DHS guidance.
Industry-leading security and compliance
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.