Dependent Status Verification Benefit Plans - redlands 2025

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This form is to be completed by your provider after dependent care expenses have been incurred and should be used in place of dependent care documentation. Attach this form to an online or debit card claim via your online account or to a Claim Form.
Dependent Eligibility Verification (DEV) is the process of re-verifying the eligibility of your spouse, domestic partner, children, stepchildren, and domestic partner children (dependents) enrolled in health and/or dental benefits.
Proof of Parent/Child Relationship Birth certificate/hospital record showing the childs parent(s), or. Court-approved adoption papers (with signature or seal), or. Court-approved letters of guardianship (with signature or seal), or. Adoption Placement Agreement and Petition for Adoption, or.
The Verification Worksheet - Dependent form is a form that is requested of a dependent student selected for FAFSA Verification. The form requires information from both parents and students to verify some of the information provided on the students Free Application for Federal Student Aid (FAFSA).