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Form 474 Attestation and Verification of Food Stamp (Fs) Household Disaster - New Hampshire
What Is DFA Form 474?
This is a legal form that was released by the New Hampshire Department of Health and Human Services - Division of Family Assistance - a government authority operating within New Hampshire. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DFA Form 474?
A: DFA Form 474 is the Attestation and Verification of Food Stamp (FS) Household Disaster form.
Q: What is the purpose of DFA Form 474?
A: The purpose of DFA Form 474 is to verify a household's eligibility for Food Stamp benefits in the case of a disaster in New Hampshire.
Q: What does the form require?
A: The form requires the household to provide information about their disaster-related expenses and any changes in income or household members.
Q: Who needs to fill out DFA Form 474?
A: Households in New Hampshire that have experienced a disaster and are applying for or receiving Food Stamp benefits need to fill out DFA Form 474.
Form Details:
- Released on April 1, 2017;
- The latest edition provided by the New Hampshire Department of Health and Human Services - Division of Family Assistance;
- Easy to use and ready to print;
- Available in Spanish;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of DFA Form 474 by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Health and Human Services - Division of Family Assistance.
Download Form 474 Attestation and Verification of Food Stamp (Fs) Household Disaster - New Hampshire
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