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CALIFORNIA DEPARTMENT OF EDUCATION CHILD DEVELOPMENT DIVISION Form CD9605, (Revised: 02/04) NOTE: When applicable, this form is to be completed and used with form, CD9600. STATEMENT OF INCAPACITY

How to fill out statement of incapacity

How to fill out a statement of incapacity?

1. Start by obtaining a copy of the statement of incapacity form from the appropriate authority or organization. This may be a healthcare provider, legal institution, or government agency.
2. Read through the form carefully and familiarize yourself with the information required. The form will typically ask for personal details, medical history, and the reason for incapacity.
3. Gather any supporting documents that may be needed to provide evidence of incapacity. This can include medical records, letters from healthcare professionals, or any relevant legal documents.
4. Begin filling out the form by providing your personal information, such as full name, address, date of birth, and contact details.
5. Use the designated sections or fields to explain your incapacity. Provide a clear and concise description of your condition, including any relevant medical diagnoses or disabilities.
6. If necessary, provide a detailed account of how your incapacity affects your daily life, work, or ability to carry out certain activities.
7. Attach any supporting documents as requested by the form. Make sure these documents are organized and labeled correctly to avoid confusion.
8. Review the completed form for accuracy and completeness. Double-check that you have provided all the necessary information and that it is legible.
9. Sign and date the form where indicated. In some cases, additional witness signatures may be required. Follow the instructions provided by the authority or organization.
10. File the completed form as instructed. This may involve submitting it to a specific department, mailing it to a designated address, or delivering it in person.

Who needs a statement of incapacity?

1. Individuals who are unable to make decisions for themselves due to physical or mental incapacity may require a statement of incapacity.
2. This can include elderly individuals with cognitive decline, individuals with severe disabilities, or those who have suffered a serious injury or illness that affects their decision-making abilities.
3. A statement of incapacity is often necessary when appointing a guardian or making legal and financial decisions on behalf of the incapacitated person.
4. Healthcare providers, legal institutions, and government agencies may require a statement of incapacity to ensure that appropriate care, support, or legal arrangements are made for the incapacitated individual.
5. It is important to consult with the relevant authorities or legal professionals to determine if a statement of incapacity is needed in a particular situation and to understand the specific requirements and procedures involved.

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