Government Assistance Templates

This Form is used for tenants to apply for a housing allowance.

This form is used for applying for Section 8 rental assistance in Emery County, Utah.

This form is used for applying for a respite subsidy in Nebraska.

This Form is used for applying to the Head Start and Early Head Start programs, which provide comprehensive early childhood education, health, and family support services for low-income families with young children.

This form is used for the repayment agreement of supportive services received under the Welfare to Work/Cal-Learn program in California.

This Form is used for requesting a designated alternate card holder or authorized representative for cash aid and food stamp electronic benefit transfer (EBT) in California.

This form is used for notifying California residents about the approval of their food stamp application.

This form is used for applying for emergency assistance for child welfare services in California.

This Form is used for requesting Medi-Cal coverage for additional family members in California. It is available in Korean.

This form is used for transmitting information from Medi-Cal to Healthy Families in California. It allows for the transfer of relevant documents and data between these two healthcare programs.

This form is used for applicants to provide additional information and facts for their Medi-Cal application in California. It is specifically designed for Chinese-speaking individuals.

This form is used for applicants to provide additional information about their facts and circumstances when applying for Medi-Cal in California. It is available in Arabic.

This form is used for reporting the status of Medi-Cal benefits in California for individuals who speak Farsi.

This form is used for applying for Section 8 rental assistance in Pulaski County, Missouri.

This Form is used for the CalFresh Program in California to set up a Restricted Account Agreement.

This form is used for scheduling a recertification appointment for CalFresh benefits in California.

This form is used for scheduling an initial appointment for the CalFresh program in California.

This document is a CalFresh recertification appointment letter used in California.

This form is used for CalFresh participants in California who are non-citizens and need to report changes in their immigration status or other relevant information.

This form is used for requesting additional information related to the CalFresh program in California.

This document is used for reporting cash aid received by a mother and an unrelated adult male in California.

This Form is used for applying for CalFresh, Cash Aid, and/or Medi-Cal/Health Care Programs in California.

This form is used for verifying eligibility for improved pension benefits. It provides instructions on how to complete VA Form 21P-0510.

Medicare is a federal health insurance program in the United States that provides coverage to individuals who are 65 years or older, as well as certain younger individuals with disabilities.

Medicaid is a joint federal and state program in the United States that provides health coverage to low-income individuals and families, including pregnant women, children, and people with disabilities.

This form is used for providing additional income and property information needed for Medi-Cal in California. It is available in Vietnamese.

This document is used for doctors to verify the eligibility of patients for Home and Community Based Services under the Spousal Impoverishment Provisions in California. It is available in Farsi language.

This Form is used for informing individuals in Indiana about their rights and responsibilities for the Supplemental Nutrition Assistance Program (SNAP) and Cash Assistance.

This form is used for applying for the Medicaid Waiver program in Kentucky. It is the initial application to determine eligibility for the program.

This Form is used for applying for Temporary Assistance for Needy Families (TANF) cash benefit programs in Nevada.

This form is used to apply for presumptive eligibility for Medicaid in Nevada. It allows individuals to receive temporary coverage while waiting for their full Medicaid application to be processed.

This Form is used for healthcare providers in North Dakota to enter into agreements for participation in the Medicaid and Basic Care Assistance Programs.

This Form is used for requesting an Independent Medical Exam in Louisiana.

This form is used for creating a contract between parties involved in the transportation and installation of goods or equipment in the state of Louisiana. It outlines the terms and conditions of the agreement, ensuring clarity and protection for all parties involved.

This form is used for applying for a Louisiana Manufactured Retailer's License, which allows manufacturers to sell their products directly to consumers in the state of Louisiana.

This form is used for requesting a stop payment for workers' compensation benefits in Louisiana.

This form is used for requesting information from a person or business that owes you money, and also includes an order to collect the owed amount. It is specific to the Parish of Jefferson, Louisiana.

This form is used for tracking and documenting the transport of hazardous waste within the state of Louisiana. It ensures compliance with state regulations and helps to monitor the proper handling and disposal of hazardous materials.

This form is used for applying for a beer and liquor license in the Village of Richmond, Louisiana.

This document is for applying for a liquor license in the City of Mandeville, Louisiana.

This document is a report detailing a security incident that occurred in a Louisiana court. It provides information about the incident and any actions taken in response.

This document is used in Louisiana to waive certain restrictions and delays. It is a form that individuals can use to declare that they are waiving certain rights or requirements in a legal matter.

This form is used for amending the quarterly wage and tax report in the state of Louisiana.

This Form is used for requesting cancellation in Lafayette Parish, Louisiana.

This document is a request for cancellation made by a licensed financial institution in Lafayette Parish, Louisiana. It is used to initiate the cancellation of a financial arrangement or agreement.

This document is used for transferring ownership of a boat that belonged to someone who has passed away in Louisiana.

This form is used by contractors and subcontractors in Louisiana to apply for a surety bond. The surety bond provides financial protection to the project owner in case the contractor or subcontractor fails to fulfill their obligations.

This Form is used for reporting monthly ground water usage in Louisiana.

This document is a legal declaration used in Louisiana to confirm compliance with certain requirements or regulations. It is typically used in various legal and administrative matters.

This form is used for requesting the abatement of interest in the state of Louisiana.

This form is used for requesting a compromise of interest in Louisiana. It allows individuals or businesses to seek a resolution to reduce the amount of interest owed on a particular debt or liability.

This form is used for claiming sales tax exemption on the purchase of mobile homes by enrolled tribal members for use on federally recognized Indian reservations in Louisiana.

This document is used for claiming sales tax exemption when the Chitimacha Indian Tribe or its tribal government agencies in Louisiana purchase motor vehicles.

This form is used for requesting a sales tax exemption for purchases made by the federal government in Louisiana, as authorized by the U.S. Constitution.

This document is used for reporting sales and use tax in LaSalle Parish, Louisiana.

This form is used for farmers in Louisiana to register for a gasoline tax refund. Farmers can use this form to apply for a refund on the taxes paid for gasoline used for agricultural purposes.

This form is used for manufacturers to designate a mandate in the state of Louisiana.

This Form is used for reporting lost or missing receipts in the state of Louisiana.

This Form is used for applying for a sales tax exemption certificate in Louisiana for charitable institutions.

This form is used for applying for direct payment of lease/rental tax to the Louisiana Department of Revenue in Louisiana.

This form is used for applying for a tax exemption on the purchase of lease or rental vehicles in the state of Louisiana.

This document is used for reporting sales and use tax in Webster Parish, Louisiana.

This form is used for applying for an offshore registration number in the state of Louisiana.

This Form is used for certifying the donation or contribution of sophisticated and technological property in the state of Louisiana.

This form is used for reporting and investigating cases of refund check endorsement forgery for individuals with a single filing status in the state of Louisiana.

This form is used to report and investigate incidents of forged endorsement on refund checks for taxpayers who are married and filing jointly in the state of Louisiana.

This form is used for individuals in Louisiana who need to update their name and address information for their income tax records.