Form DS5862 Parental Verification for Receipt of Behavioral Services - California

Form DS5862 Parental Verification for Receipt of Behavioral Services - California

What Is Form DS5862?

This is a legal form that was released by the California Department of Developmental Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DS5862?A: Form DS5862 is the Parental Verification for Receipt of Behavioral Services.

Q: Who is this form for?A: This form is for parents or guardians in California who have received behavioral services for their child.

Q: What is the purpose of this form?A: The purpose of this form is to verify that the parent or guardian has received the behavioral services for their child.

Q: Is this form mandatory?A: Yes, this form is mandatory for parents or guardians who have received behavioral services for their child in California.

Q: What information is required on Form DS5862?A: The form requires information such as the child's name, the name of the behavioral services provider, and the dates of service.

Q: Are there any fees associated with submitting this form?A: There are no fees associated with submitting Form DS5862.

Q: What if I have questions or need assistance with this form?A: If you have questions or need assistance with Form DS5862, you can contact the California Department of Education for support.

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Form Details:

  • Released on June 1, 2011;
  • The latest edition provided by the California Department of Developmental Services;
  • Easy to use and ready to print;
  • Available in Chinese;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DS5862 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the California Department of Developmental Services.

Download Form DS5862 Parental Verification for Receipt of Behavioral Services - California

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