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Effective Date: 



Updated: 10/2002


To determine the parental status and potential inheritances of ICF-MH clients.


When to Prepare

The caseworker sends Form H1260 (used at worker discretion) with each Form H1200 until both parents are deceased or the parental status/inheritances are no longer in question.

Number of Copies

Complete one original.


Send the original with Form H1200 to the responsible party at application and each review. After the form is completed, signed, and returned, file it in the case record.

Form Retention

Keep the form for three years after the case is closed or denied.