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Children's Extensive Support Waiver Checklist Application Department of Human Services Division for Developmental Disabilities August 2012 To be used for Initial Application to Waiting List, Enrollment
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How to fill out childrens extensive support waiver

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How to fill out children's extensive support waiver:

01
Start by obtaining a copy of the children's extensive support waiver form. This form is typically available through your local social services agency or online on their website.
02
Read the instructions carefully before filling out the form. Make sure you understand the purpose of the waiver and the eligibility criteria.
03
Provide the necessary information about the child for whom you are seeking support. This includes their name, date of birth, and any identification numbers required.
04
Pay attention to the sections that require you to provide details about the child's needs and disabilities. Be thorough and accurate in describing the child's condition, as this information will be used to determine their eligibility for extensive support services.
05
If applicable, include any relevant medical or educational documents that support your child's need for extensive support. This might include doctor's reports, therapy evaluations, or individualized education plans (IEPs).
06
Complete any additional sections or declarations as instructed on the form. This may involve providing information about the child's living situation, financial status, or previous support services received.
07
Review your completed form for any errors or missing information. It is essential to ensure that all sections are accurately filled out to avoid delays or potential issues with your application.
08
Sign and date the form. Some forms may require you to have the child's physician or other authorized individuals sign as well.
09
Make a copy of the completed form for your records. This will be helpful in case there are any discrepancies during the application process.
10
Submit the filled-out form and any required supporting documents to the appropriate office or agency. Follow the instructions provided to ensure your application is correctly received and processed.

Who needs children's extensive support waiver?

01
Parents or legal guardians of children with significant disabilities or special needs may need to consider applying for a children's extensive support waiver.
02
Children who require additional support services beyond what is typically provided may benefit from this waiver. It aims to help families access specialized resources and funding to meet the child's unique needs.
03
Eligibility criteria may vary depending on the jurisdiction and program, but typically, the child must have a qualifying disability or a combination of disabilities that significantly impacts their daily functioning and requires extensive support.
04
Families who are struggling to meet the financial costs associated with their child's special needs may also find the children's extensive support waiver helpful in obtaining financial assistance.
05
It is important to consult with your local social services agency or a disability advocate to determine if your child qualifies for the waiver and to understand the specific requirements and application process in your area.
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Children's extensive support waiver is a program that provides extra financial support for children with special needs.
Parents or legal guardians of children with special needs are required to file children's extensive support waiver.
To fill out children's extensive support waiver, you need to provide information about the child's special needs, medical expenses, and income.
The purpose of children's extensive support waiver is to help families cover the extra costs associated with caring for a child with special needs.
Information that must be reported on children's extensive support waiver includes the child's medical condition, financial situation, and expenses related to the child's care.
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