Skip to main content

You must have JavaScript enabled in order to access this part of the site. Please enable JavaScript and then reload this page in order to continue.

CLASS Form 3621 and Instructions Update

Last updated on

An update to CLASS Form 3621, CLASS or CFC – Individual Plan of Care and Form 3621-T, CLASS/CFC – IPC Service Delivery Transfer Worksheet is now available. The effective date for the forms and forms instructions is February 2025. Click here for the new forms.