Doe rsa form 2026

1. Click ‘Get Form’ to open the doe rsa form in the editor.
2. Begin with Section 1: Student Information. Fill in the student's name, date of birth, and NYC ID number. Ensure all fields are completed accurately.
3. Proceed to Section 2: Provider Information. Enter your name, address, telephone number, and Social Security number. This section is crucial for identifying the service provider.
4. In Section 3: Agency Information, provide the agency's name, address, and Federal Tax ID number. This information validates your billing request.
5. Move to Section 4: Service Provision. Document each session's date, frequency, start time, end time, and group size. Calculate the total number of sessions and total amount due at the end of this section.
6. Finally, complete Section 5: Provider Certification by signing and dating the form. Ensure that a parent or guardian also signs to confirm service provision.

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