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Click ‘Get Form’ to open the standard means test in the editor.
Begin by entering the client’s personal information, including their last name, date of birth, and case number. Ensure accuracy as this data is crucial for processing.
In section (A), indicate whether the client has health insurance by selecting 'Yes' or 'No'. If 'Yes', provide details about the policyholder and insurance company.
Proceed to section (B) to confirm employment status for the client and/or financially responsible person. Fill in employer details if applicable.
In section (C), list all sources of income for both the client and spouse/parents. Be thorough in documenting amounts and pay periods.
Complete sections (D) through (K) as required, ensuring all financial resources are accurately reported. This includes any personal property or real estate owned.
Finally, review your entries for completeness and accuracy before signing in section (L) to certify that all information is true.

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