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Health Account Management Division P.O. BOX 942715, Sacramento, CA 942292715 888 CalPERS (or 8882257377) | TTY (877) 2497442 FAX (800) 9596545 | www.calpers.ca.govDISABLED DEPENDENT MEMBER QUESTIONNAIRE

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How to fill out questionnaire for disabled dependent

01

Make sure you have all the necessary information about your disabled dependent on hand, such as their personal information, medical history, and any documentation relevant to their disability.

02

Begin by filling out the basic information section of the questionnaire, including your dependent's name, date of birth, and relationship to you.

03

Proceed to answer the specific questions related to your dependent's disability, providing as much detail as possible to ensure accurate assessment.

04

Double-check your answers for accuracy and completeness before submitting the questionnaire to the appropriate authorities.

Who needs questionnaire for disabled dependent?

01

Anyone who is claiming a disabled dependent on their taxes or applying for government benefits on behalf of a disabled individual will need to fill out a questionnaire for the disabled dependent.

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What is questionnaire for disabled dependent?

A questionnaire for disabled dependent is a form that collects information about a dependent who has a disability, often used to determine eligibility for various benefits or tax considerations.

Who is required to file questionnaire for disabled dependent?

Typically, individuals claiming a disabled dependent on their tax return or applying for benefits are required to file the questionnaire.

How to fill out questionnaire for disabled dependent?

To fill out the questionnaire, gather necessary information about the disabled dependent, including personal details, nature of disability, and any supporting documentation, then complete the form according to the provided instructions.

What is the purpose of questionnaire for disabled dependent?

The purpose of the questionnaire is to assess the dependency status of an individual with a disability for the purposes of benefits eligibility, tax deductions, or other support.

What information must be reported on questionnaire for disabled dependent?

The questionnaire generally requires personal information about the dependent, details on the type and severity of the disability, and any relevant medical or financial information.

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