san bernardino county human services system auditing recovery and reconciliation Preview on Page 1

Fp06006 - HS - San Bernardino County 2026

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  1. Click ‘Get Form’ to open the Fp06006 - HS - San Bernardino County in the editor.
  2. In Step One, determine the Principal Earner (PE) by selecting whether it is an Intake or Continuing function. Complete the corresponding boxes for each.
  3. Enter the current year and two prior years in Section II. Circle Month #1 and Month #2, then input earnings for each parent for those months.
  4. In Step Two, assess if the PE meets Unemployed Parent requirements by answering all questions affirmatively. If any question is answered 'No', stop here as eligibility is not met.
  5. In Step Three, check the appropriate box to indicate eligibility for U-Parent deprivation. Fill in application date and qualifying periods as instructed.
  6. Finally, sign and date the form before saving your work. Ensure all information is accurate and complete.

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