ECI Respite Funding Agreement - darsstatetxus 2026

1. Click ‘Get Form’ to open the ECI Respite Funding Agreement in the editor.
2. Begin by entering your family information, including the number of family members and total family income. This will help determine your required hourly co-pay based on the provided scale.
3. Next, assess the complexity of care needed for your child. Select the appropriate level of care: Basic, Moderate, or Intensive, ensuring you understand the associated hourly rates.
4. In the agreement section, read through each statement carefully. Confirm your understanding and acceptance by signing and dating where indicated.
5. Fill in your name as Parent or Guardian, along with your child's name and date of birth. Specify the beginning and ending dates for respite services.
6. Finally, review all entered information for accuracy before saving or exporting your completed form for submission.

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