Dhs form 4025: Fill out & sign online

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Click ‘Get Form’ to open the dhs 4025 form 2010 in the editor.
Begin by filling in the 'Case Name', 'Case Number', and 'Date' at the top of the form. Ensure accuracy as this information is crucial for processing.
Next, complete the 'DHS Office', 'District', and 'Specialist' sections. This identifies your local DHS office and assigned specialist.
In the 'Child Development and Care Provider Verification' section, provide all requested details about the child care provider, including their name, address, and contact information.
List all children under care in the designated area, including their names and dates of birth. Indicate if you are related to each child.
Review both sides of the form carefully. Sign and date on page 2 as required before submitting it back to your local DHS office.

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Versions	Form popularity	Fillable & printable
2015	4.8 Satisfied (162 Votes)
2013	4.3 Satisfied (178 Votes)
2010	4.3 Satisfied (150 Votes)

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