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Phs 1637-2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your Social Security Number (SSN) and full name in the designated fields. Ensure accuracy as this information is crucial for processing.
- In the 'Purpose' section, select whether you are establishing initial dependency or re-certifying an existing one by placing an 'X' in the appropriate box.
- Fill out your marital status and provide details of any dependents, including their names, addresses, and dates of birth. If applicable, include information about legal custody.
- Complete the financial contribution section for each dependent, detailing monthly contributions and any required court support amounts.
- If claiming a child over 21 who is handicapped, attach a physician's statement as instructed. Ensure all necessary documentation is included before submission.
- Review all entries for accuracy and completeness before signing and dating the form at the bottom.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2005 | 4.9 Satisfied (324 Votes) |
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