Nevada Department of Health and Human Services Forms

This form is used for requesting resources from the Nevada Department of Emergency Management and Homeland Security.

This form is used for attesting to the appropriateness of a qualified clinical trial in Nevada.

This document is used for requesting an application to register for the Nevada Medical Marijuana Registry.

This form is used to request a medical marijuana registry application for a minor child in the state of Nevada.

This Form is used for requesting inspection of ground ambulance, air ambulance or non-transport agency vehicle in Nevada.

This Form is used for adding a business associate to a healthcare organization in Nevada.

This form is used for filing arbitration claims in Nevada for amounts under $5,000.

This Form is used for reporting changes in Nevada.

This document is used for submitting a Change Report Form in Nevada. It is used for reporting any changes or updates to personal information or other details.

This Form is used for applicants or recipients in Nevada to designate burial funds.

This form is used for calculating income from farm operations and other self-employment activities in Nevada. It is a worksheet that helps individuals keep track of their earnings and expenses related to these types of activities.

This document is for self-employed individuals in Nevada to complete a worksheet related to their income and expenses for the year 2011.

This Form is used for applying for financial aid in Nevada for the year 2020.

This Form is used for public law certification in the state of Nevada for the year 2022.

This form is used for providing insurance policy information in Nevada.

This form is used for requesting information about banking and loan activity in Nevada for the year 2016.

This form is used for making an inquiry about VA benefits in Nevada.

This Form is used for notifying the transfer or disposal of assets and applying for the exemption of home services in Nevada.

This form is used for joint ownership of a bank account in Nevada.

This Form is used for assessing and documenting resources in Nevada.

This form is used for notifying the transfer or disposal of assets related to home-based waiver services in Nevada.

This form is used for requesting a resource assessment in the state of Nevada.

This document is for opening a joint bank account in Nevada.

This form is used for spouses in Nevada to provide information about housing, income, and resources.

This form is used for notifying parental financial responsibility in the state of Nevada.

This form is used for submitting employer payroll information in Nevada. It is required by the state to report wages, deductions, and taxes withheld by the employer.

This form is used for submitting an affidavit of separate household in Nevada.

This document is used for declaring a separated household for SNAP benefits in the state of Nevada.

This form is used for submitting medical or insurance claims related to subrogation in the state of Nevada. It helps individuals or their representatives seek reimbursement for expenses covered by another party.