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DSS Form 5268 - A Childs Hope-2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the full name of the Employee (E), Applicant (A), or Volunteer (V) in the designated field, ensuring to include the middle initial.
- Input the date of birth in the format MM/DD/YYYY. This is crucial for identification purposes.
- Provide the last four digits of the Social Security Number for verification.
- Select the gender by checking either Male or Female, and list any other names used, such as maiden names or nicknames.
- Fill in the agency requesting information, including its name and mailing address. Ensure all details are accurate to avoid delays.
- Check the appropriate type of agency from the provided options that best describes your organization.
- Sign and date the acknowledgment section to confirm understanding of information disclosure regarding RIL status.
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