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Referred by: ___ Phone: ___ Date: ___ Agency: ___ Address/Email: PLEASE CHECK THE FOLLOWING STATEMENTS ABOUT THE CHILD/FAMILY: 1. 2. 3. 4. 5. 6. Child is currently out of home and looking to return:
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Obtain the required form for filling out family members possible persons.
02
Fill in each subsection of the form with the relevant information for each family member.
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Provide accurate details such as full name, date of birth, relationship to the individual, and any other required information.
04
Review the completed form for any errors or missing information before submitting it.

Who needs family members possible persons?

01
Individuals who are applying for benefits or support that require documentation of their family members.
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Anyone who is creating legal documents that involve listing family members for inheritance or custody purposes.
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Government agencies or organizations that need accurate family member information for data collection or record-keeping.
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Family members possible persons are individuals who may potentially be included in a family unit.
The head of the household or the primary filer is required to file family members possible persons.
Family members possible persons can be filled out by providing the necessary information of each potential family member in the designated form.
The purpose of family members possible persons is to accurately report all individuals who could be part of a family unit for various reasons, such as tax filings or benefits eligibility.
Information such as name, relationship to the primary filer, date of birth, and any other relevant details must be reported on family members possible persons.
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