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Ldss 5145-2026
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- Click ‘Get Form’ to open the ldss 5145 in the editor.
- Begin with Part A – Referral. Fill in your personal information, including your name, contact details, and relationship to the child. Ensure you check the box if you are applying for Temporary Assistance.
- Proceed to Part B – Child Information. For each child involved, provide their name, date of birth, and any relevant health care coverage details. If there are two children, complete this section for both.
- In Part C – Supporting Documentation, review the list of required documents. Attach copies of necessary paperwork such as identification and proof of income directly through our platform.
- Once all sections are completed, review your entries for accuracy before submitting your referral electronically.
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Log in to your DocHub account and add your ldss 5145 to our editor using one of its upload options - from your device, cloud storage, protected URL, or your DocHub folders if you have already processed your document before. Open our editor, click the Sign button in the top toolbar, and choose your signing method. You can upload a picture of your handwritten signature, draw it, type in your name, or utilize a QR code as an alternative.
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When you edit your ldss 5145 with DocHub, you simply will not need to look for other software or solutions to eSign it. An electronic signature is part of DocHub’s comprehensive editing toolset, which allows you to apply changes in your form without switching between platforms. Simply complete your form, double-check the correctness of the information and put your electronic signature at the end to make it submission-ready quickly.
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