Planning for healthy babies (p4hb) - Georgia Department of - dch georgia 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Section 1, where you will enter your personal information. Fill in your name, address, date of birth, and contact details. Ensure that all fields are completed accurately.
3. In Section 2, list other household members. Indicate their relationship to you and provide their names and dates of birth. This section helps assess eligibility based on family size.
4. Proceed to Section 3 to report income details. List all sources of income before taxes and indicate the frequency of payments. Attach any required proof of income as specified.
5. In Section 4, gather necessary documentation for income verification. You may choose to submit this with your application or request notification by mail.
6. Finally, review Section 5 for the understanding and authorization statement. Sign and date the form before submission.

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