Form preview

MD Developmental Disabilities Administration (DDA) Low Intensity Support Services (LISS) Program Services Eligibility Application 2018 free printable template

Get Form
Developmental Disabilities Administration Low Intensity Support Services (LESS) Services and Eligibility Form APPLICANT INFORMATION (The applicant is the individual with a disability) Last Name: First
pdfFiller is not affiliated with any government organization

Get, Create, Make and Sign liss application form

Edit
Edit your liss services eligibility application form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your liss services eligibility application form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit liss services eligibility application online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the steps below to benefit from the PDF editor's expertise:
1
Log in to account. Click Start Free Trial and register a profile if you don't have one.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit liss services eligibility application. Rearrange and rotate pages, add and edit text, and use additional tools. To save changes and return to your Dashboard, click Done. The Documents tab allows you to merge, divide, lock, or unlock files.
4
Save your file. Choose it from the list of records. Then, shift the pointer to the right toolbar and select one of the several exporting methods: save it in multiple formats, download it as a PDF, email it, or save it to the cloud.
Dealing with documents is always simple with pdfFiller.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

MD Developmental Disabilities Administration (DDA) Low Intensity Support Services (LISS) Program Services Eligibility Application Form Versions

How to fill out liss services eligibility application

Illustration

How to fill out MD Developmental Disabilities Administration (DDA) Low Intensity

01
Obtain the MD DDA Low Intensity application form from the official DDA website or local office.
02
Fill out the personal information section including your name, contact details, and current address.
03
Provide information about the individual with developmental disabilities, including their name, birth date, and any relevant medical history.
04
Indicate the specific services or supports being requested under the Low Intensity program.
05
Include any documentation required to support the application, such as medical assessments or behavioral evaluations.
06
Review the completed application for accuracy and completeness.
07
Submit the application form along with the necessary documentation to the appropriate DDA office.
08
Follow up with the DDA office to confirm receipt of your application and inquire about the next steps in the process.

Who needs MD Developmental Disabilities Administration (DDA) Low Intensity?

01
Individuals with developmental disabilities who require support services to maximize their independence and community participation.
02
Families or caregivers of individuals with developmental disabilities seeking low-intensity support options.
03
Individuals who may not need extensive supports but require some assistance for daily living skills or decision-making.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.8
Satisfied
38 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The pdfFiller Gmail add-on lets you create, modify, fill out, and sign liss services eligibility application and other documents directly in your email. Click here to get pdfFiller for Gmail. Eliminate tedious procedures and handle papers and eSignatures easily.
Install the pdfFiller iOS app. Log in or create an account to access the solution's editing features. Open your liss services eligibility application by uploading it from your device or online storage. After filling in all relevant fields and eSigning if required, you may save or distribute the document.
The pdfFiller app for Android allows you to edit PDF files like liss services eligibility application. Mobile document editing, signing, and sending. Install the app to ease document management anywhere.
MD Developmental Disabilities Administration (DDA) Low Intensity is a program designed to provide support and services to individuals with developmental disabilities who may have less intensive needs compared to those requiring higher levels of care.
Individuals seeking services from the MD DDA that qualify as having low-intensity needs must file for the MD DDA Low Intensity program to access appropriate support and resources.
To fill out the MD DDA Low Intensity application, one should ensure to provide detailed personal information, descriptions of support needs, and any relevant documentation that supports the request for low-intensity services.
The purpose of the MD DDA Low Intensity is to ensure that individuals with developmental disabilities receive the necessary support in a manner that is tailored to their lower levels of service need, promoting independence and quality of life.
Information that must be reported includes personal identification details, current support needs, prior services received, and any medical or psychological evaluations that can substantiate the request for low-intensity services.
Fill out your liss services eligibility application online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.