Florida Department of State and Division of Library and Information Services

Reference: Ref-14949

Reference Name: APD Form 65G-13.004 A – Individual Financial Profile
Agency: 65 Department of Children and Families
65G Agency for Persons with Disabilities

Modified Document(s):
5/13/2026 Technical corrections to pages 6 and 9 as stated in the Notice of Correction published in the Vol. 52, No. 94, May 14, ...
Adopted Document(s):
12/5/2022 A profile developed by a client of the Agency or a client’s legal representative and the client’s support ...
Proposed Document(s):
11/14/2022 A profile developed by a client of the Agency or a client’s legal representative and the client’s support ...
Description: A profile developed by a client of the Agency or a client’s legal representative and the client’s support coordinator or, if applicable, supported living coach, which accurately reflects the client’s finances and is required to determine the client’s need for an in-home subsidy.

Disclaimer: External links within the reference material are subject to change outside of the rulemaking process.

Rules/Notices using this Reference Material
Notice /
Adopted		 Section Description ID Publish
Date
View Text Correction
65G-13.004 		In-Home Subsidy Procedure 30892092 5/14/2026
Vol. 52/94
View Text Final
65G-13.004 		In-Home Subsidy Procedure 26623122 Effective:
12/25/2022



Under Florida law, E-mail addresses are public records. If you do not want your E-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.