04mp033e 2026

See details

4.3 out of 5

120 votes

The document is a referral form from the Oklahoma Department of Human Services for Child Welfare workers to request substance abuse assessment and treatment services for clients. It includes sections for identifying information, eligibility criteria, and reasons for referral, along with signatures from the referring worker and supervisor.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out 04mp033e with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the 04mp033e in the editor.
Begin by entering the identifying information at the top of the form. Fill in the case name, family street address, county, city, state, zip code, KK number, and area code for the phone number.
Next, list the family members referred for services. Include their first name, middle initial, last name, date of birth, gender, and race.
In the eligibility section, confirm that income and resources are insufficient to meet the need for services by checking the appropriate box.
Specify the reason for referral by detailing the need for substance abuse assessment or treatment services in the designated field.
Finally, ensure that both the referring CW/CHBS worker and supervisor sign and date the form before submission.

Start using our platform today to complete your forms online for free!

See more 04mp033e versions

We've got more versions of the 04mp033e form. Select the right 04mp033e version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (162 Votes)
2006	4.3 Satisfied (120 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What do I need to sign my 04mp033e electronically?

Electronic document approval requires a software solution that works in compliance with data protection and eSignature regulations. DocHub is a perfect tool for that, as it meets all the previously mentioned requirements. Whatever method you like to sign your 04mp033e in DocHub, your electronic signature will be legally binding and court-admissible.

How to manage my 04mp033e from Gmail?

If your go-to electronic mail service is Gmail, you can easily integrate your DocHub editor in your work. Edit your 04mp033e with DocHub tools and attach it to your drafts in Gmail. See how effortless it is to exchange documents and work together with a swift PDF editing solution at hand.