OK Form 04AF003E (DCFS-69-A) 2008-2025 free printable template

Resource Family Assessment Bridge Family Profile a. Identifying applicant information Resource name Pre-resource number Resource number Resource applicant father Date of birth Race Tribal affiliation Social Security number Area code Membership number E-mail address Cell phone Work number Street address Children in the home State Zip County City Home phone Relationship Form 04AF003E DCFS-69-A revised 2-10-2008 may continue on next page page 1 of 2...

How to fill out okdhs form 04af003e

How to fill out OK Form 04AF003E (DCFS-69-A)

1. Begin by downloading the OK Form 04AF003E (DCFS-69-A) from the Oklahoma Department of Human Services website.
2. Read the instructions carefully to understand the information required.
3. Fill in your name and contact information at the top of the form.
4. Provide details about the individual's case you are submitting the form for, including their name and ID number.
5. Complete any required sections about the services you are requesting or reporting.
6. Ensure all relevant signatures are obtained where necessary.
7. Review the form for any missing information or errors.
8. Submit the completed form to the appropriate office as specified in the instructions.

Who needs OK Form 04AF003E (DCFS-69-A)?

1. Individuals or organizations involved with the Oklahoma Department of Human Services who need to access or report on specific cases related to child welfare.
2. Foster parents or adoptive parents seeking services or support from the DCFS.
3. Social workers or case managers who are documenting information for their clients.

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What is OK Form 04AF003E (DCFS-69-A)?

OK Form 04AF003E (DCFS-69-A) is a document used in the state of Oklahoma for reporting certain financial and personal information related to specific services, programs, or benefits provided by the Department of Human Services.

Who is required to file OK Form 04AF003E (DCFS-69-A)?

Individuals or organizations that are seeking or receiving certain benefits or services from the Oklahoma Department of Human Services may be required to file OK Form 04AF003E (DCFS-69-A).

How to fill out OK Form 04AF003E (DCFS-69-A)?

To fill out OK Form 04AF003E (DCFS-69-A), individuals should carefully read the instructions provided with the form, complete all required sections with accurate information, and ensure that it is signed and dated before submission.

What is the purpose of OK Form 04AF003E (DCFS-69-A)?

The purpose of OK Form 04AF003E (DCFS-69-A) is to gather necessary information to determine eligibility for various programs and services provided by the Oklahoma Department of Human Services.

What information must be reported on OK Form 04AF003E (DCFS-69-A)?

The form requires the reporting of personal identification information, details about household members, income sources, financial assets, and any other relevant information needed for eligibility determination.