Dhs 6125 eng-2025

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  1. Click ‘Get Form’ to open the DHS-6125 ENG in the editor.
  2. Begin with Section 1, General Information. Fill in your name, age, address, and contact details. Ensure accuracy as this information is crucial for communication.
  3. In Section 2, provide your signature and the name of any person assisting you. This confirms that the information provided is accurate.
  4. Proceed to Section 3, Disabling Condition. Clearly list your disabling conditions to help assess your eligibility for benefits.
  5. For Section 4, Medical Providers, enter details about your primary care clinic and any other medical providers you've seen recently. Include treatment types and tests conducted.
  6. Continue through Sections 5 to 13 by answering questions regarding Social Security applications, education, work experience, daily living activities, physical limitations, mental health issues, and seizures as applicable.

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