Form DHS / FIA500 Family Investment Administration Medical Report Form - Maryland

What Is Form DHS/FIA500?

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 DHS/FIA500 Family Investment Administration Medical Report Form?
A: The DHS/FIA500 is a medical report form used by the Family Investment Administration in Maryland.

Q: What is the purpose of the DHS/FIA500 Form?
A: The purpose of the DHS/FIA500 Form is to collect medical information for individuals applying or receiving assistance benefits.

Q: Who uses the DHS/FIA500 Form?
A: The DHS/FIA500 Form is used by the Family Investment Administration in Maryland.

Q: What kind of information is collected on the DHS/FIA500 Form?
A: The DHS/FIA500 Form collects information about an individual's medical condition, treatment, and any limitations caused by the condition.

Q: Do I need to fill out the DHS/FIA500 Form if I am applying for assistance benefits in Maryland?
A: Yes, if you are applying for assistance benefits in Maryland, you may be required to fill out the DHS/FIA500 Form to provide medical information.

Q: Are there any fees associated with submitting the DHS/FIA500 Form?
A: No, there are no fees associated with submitting the DHS/FIA500 Form.

Q: What should I do if I have questions about the DHS/FIA500 Form?
A: If you have questions about the DHS/FIA500 Form, you can reach out to the Family Investment Administration for assistance.