This is a legal form that was released by the Illinois Department of Healthcare and Family Services - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form HFS2379WA?
A: Form HFS2379WA is a statement of hardship used to request a waiver of penalty period in the state of Illinois.
Q: What is a penalty period?
A: A penalty period is a period of time during which an individual might be disqualified from receiving certain benefits due to noncompliance.
Q: Who can use Form HFS2379WA?
A: Form HFS2379WA can be used by individuals in Illinois who are facing a penalty period and wish to request a waiver based on hardship.
Q: What is the purpose of Form HFS2379WA?
A: The purpose of Form HFS2379WA is to provide a documented statement of hardship to support a request for waiver of a penalty period in Illinois.
Q: What information is required on Form HFS2379WA?
A: Form HFS2379WA requires personal information, details about the penalty period, reasons for requesting a waiver, and supporting documentation of hardship.
Q: What should I do with Form HFS2379WA once completed?
A: Once completed, Form HFS2379WA should be submitted to the appropriate HFS office for review and consideration.
Q: How long does it take to process a waiver request using Form HFS2379WA?
A: The processing time for a waiver request using Form HFS2379WA may vary, but it is advisable to submit the form as early as possible to allow for timely review.
Form Details:
Download a fillable version of Form HFS2379WA by clicking the link below or browse more documents and templates provided by the Illinois Department of Healthcare and Family Services.