Phs 1637 1 fillable-2026

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  1. Click ‘Get Form’ to open the PHS-1637-1 in the editor.
  2. Begin by entering your Social Security Number (SSN) and full name in the designated fields at the top of the form.
  3. In Item 1, select the purpose of your request by placing an 'X' in the appropriate box for either establishing initial dependency or re-certification.
  4. For Item 2, provide your marital status by selecting either 'Married' or 'Single'.
  5. In Item 3, list all dependents including their names, addresses, and dates of birth. Ensure accuracy as this information is crucial for dependency determination.
  6. If applicable, complete Item 4 regarding custody details for any children not in your legal custody.
  7. Review all entries for completeness and accuracy before submitting. Once satisfied, save your changes and submit the form through our platform.

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