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This version of the form is not currently in use and is provided for reference only. Download this version of
Form PA-72
for the current year.
Form PA-72 Request for Certification or Recertification - New Hampshire
What Is Form PA-72?
This is a legal form that was released by the New Hampshire Department of Revenue Administration - 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 Form PA-72?
A: Form PA-72 is a request for certification or recertification in the state of New Hampshire.
Q: What is the purpose of Form PA-72?
A: The purpose of Form PA-72 is to request certification or recertification for certain benefits in New Hampshire.
Q: Who needs to fill out Form PA-72?
A: Individuals who are applying for or recertifying certain benefits in New Hampshire need to fill out Form PA-72.
Q: What benefits can be requested through Form PA-72?
A: Form PA-72 can be used to request benefits such as medical assistance, food stamps, and cash assistance in New Hampshire.
Form Details:
- Released on June 1, 2019;
- The latest edition provided by the New Hampshire Department of Revenue Administration;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form PA-72 by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Revenue Administration.
Download Form PA-72 Request for Certification or Recertification - New Hampshire
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