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 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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