Government Assistance Templates

This Form is used for filing an Access Florida Application in the state of Florida. It allows individuals to apply for various assistance programs offered by the Department of Children and Families, such as food assistance, cash benefits, and medical coverage.

This form is used for applying for assistance in the state of Rhode Island.

This form is used for applying for family assistance in the state of Tennessee.

This form is used for applying for the Medicaid/Medicare Buy-In program in Florida.

This Form is used for applying for Medicaid enrollment in the state of Montana. It is used by individuals who meet the eligibility requirements and wish to receive healthcare coverage through the Medicaid program.

This form is used for applying for childcare assistance in the state of Louisiana. It is intended to help families with the cost of childcare services.

This form is used for applying for child care assistance in New York. It is required to access financial support for child care services.

File this renewal form annually in order to renew your Medicare coverage.

This form is used for applying for Disaster Unemployment Insurance in Indiana. It is the initial application form that individuals need to fill out to receive financial assistance if they have lost their job due to a disaster.

This form is used for applying for unemployment benefits in Mississippi.

This form is used for determining eligibility for the TANF (Temporary Assistance for Needy Families) program in Utah.

This document provides the Federal Poverty Guidelines for eligibility in the Lifeline program administered by USAC.

This form is used for declaring self-sufficiency to the United States Citizenship and Immigration Services (USCIS).

This Form is used for applying for state grant assistance in Illinois.

This Form is used for individuals in Maryland who are seeking assistance from the Department of Homeland Security for financial aid, such as food and housing assistance.

This form is used for recertification of SNAP benefits in Rhode Island.

This form is used for referring individuals in Texas to apply for Supplemental Security Income (SSI) benefits. It provides necessary information to the relevant authorities for determining eligibility.

This form is used for case preparation in Texas. It provides guidance and instructions for individuals who are preparing their case for review by the Texas Health and Human Services Commission.

This form is used to calculate income for medical programs in Texas. It helps determine eligibility for Medicaid and other healthcare assistance programs.

This form is used for verifying benefits in Texas. It is a document that helps individuals confirm their eligibility and current benefits status.

This form is used for recertification of Medical Assistance Only (MAO) in Texas. It is used to update and verify an individual's eligibility for medical assistance.

This form is used to apply for the Medicaid Buy-In program for children in Texas.

This form is used for notifying individuals in Texas about the Medicare Savings Program.

This Form is used for assessing spousal impoverishment in Texas. It is available in both English and Spanish.

This form is used for applying, reviewing, and receiving appointment notices for various services in the state of Texas.

This form is used for documenting the restoration of benefits in Texas.

This form is used for gathering information about the socio-economic situation of individuals applying for disability benefits in the state of Texas.

This form is used to notify the Medicaid Buy-In for Children program in Texas about changes in monthly payments or cost share limits.

This form is used for applying for the Medicaid Buy-In for Children program in Texas.

This form is used for applying or recertifying for the Supplemental Nutrition Assistance Program (SNAP) in New York. It is available in Chinese language.

This document is for applying or recertifying for the Supplemental Nutrition Assistance Program (SNAP), also known as food stamps, in New York. The form is available in Haitian Creole.

This document is an application for the Pathway Home Program in New York City. It is available in Russian language.

This document is for tenants participating in the Linc II Program in New York City. It is a tenant statement of understanding that outlines the rules and regulations of the program.

This form is used for referring elderly and disabled individuals to the Medicaid for the Elderly and People with Disabilities program in Texas. The form acts as a cover sheet for the referral process.

This form is used for requesting information related to Medi-Cal benefits in California.

This document is required for individuals in Arizona to establish their lawful presence in order to receive public benefits. It is a form that must be completed and submitted to the relevant government agency.