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Get the free Freedom of Choice Form - Department on Disability Services - mh alabama

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Freedom of Choice: (To be completed by Person, Parent/Guardian, and Support Coordinator) Personae:I. Date:FreedomofChoiceThesignatureonthisformatteststhatthepersonortheparent/guardian/authorizedrepresentativehavereceived anexplanationofAlabamasHomeandCommunityBasedServices(HUBS)WaiverforpersonswithIntellectualand otherDevelopmentalDisabilities(I/DD)andhavebeenpresentedwithalistofenrolledHCBSserviceproviders
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The DOM of choice form is a legal document used to designate a trustee to make decisions on behalf of an individual who may be unable to make those decisions themselves.
Anyone who wishes to designate a trustee for decision-making purposes may be required to file a DOM of choice form.
To fill out a DOM of choice form, you must provide your personal information, the information of the trustee you wish to designate, and specify the decision-making powers you are granting.
The purpose of a DOM of choice form is to legally appoint a trustee to make decisions on behalf of an individual who may be unable to do so themselves.
The DOM of choice form must include personal information of the individual filling out the form, information of the designated trustee, and details of the decision-making powers being granted.
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