Form DHR / FIA491 Change Report Form - Maryland

What Is Form DHR/FIA491?

This is a legal form that was released by the Maryland Department of Human Services - a government authority operating within Maryland. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the DHR/FIA491 Change Report Form?
A: The DHR/FIA491 Change Report Form is a form used in Maryland to report changes in circumstances for individuals receiving public assistance.

Q: What kind of changes should be reported on the form?
A: The form should be used to report changes in income, employment, household composition, address, and other relevant information.

Q: Is the form mandatory?
A: Yes, it is mandatory to report any changes in circumstances that may affect your eligibility or benefit amount.

Q: How often should I submit the form?
A: You should submit the form as soon as the change occurs, typically within 10 days.

Q: What happens if I do not report changes?
A: Failure to report changes may result in an overpayment or underpayment of benefits, and can lead to penalties or loss of benefits.

Q: What supporting documents should I include with the form?
A: You may need to include documents such as pay stubs, proof of address, or proof of household composition, depending on the nature of the change being reported.

Q: Who can I contact for assistance with the form?
A: You can contact the Maryland Department of Human Services or your local Department of Social Services for assistance with completing the form.

Q: Can I get a copy of the form in languages other than English?
A: Yes, the Maryland Department of Human Services provides the form in multiple languages to accommodate non-English speakers.