Form EA-117 Application for Economic Assistance Benefits - Nebraska

Form EA-117 Application for Economic Assistance Benefits - Nebraska

What Is Form EA-117?

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

FAQ

Q: What is Form EA-117?
A: Form EA-117 is the Application for Economic Assistance Benefits in Nebraska.

Q: What is the purpose of Form EA-117?
A: The purpose of Form EA-117 is to apply for economic assistance benefits in Nebraska.

Q: Who can use Form EA-117?
A: Anyone who meets the eligibility requirements for economic assistance benefits in Nebraska can use Form EA-117.

Q: What information is required on Form EA-117?
A: Form EA-117 requires information about your household, income, assets, and expenses.

Q: What economic assistance benefits are available in Nebraska?
A: Nebraska offers various economic assistance benefits, such as SNAP (Supplemental Nutrition Assistance Program), Medicaid, and Temporary Assistance for Needy Families (TANF).

Q: What happens after I submit Form EA-117?
A: After you submit Form EA-117, your application will be reviewed, and you will be notified of your eligibility for economic assistance benefits.

Q: Is there a deadline for submitting Form EA-117?
A: There is no specific deadline for submitting Form EA-117, but it is recommended to submit it as soon as possible to avoid delays in receiving assistance.

Q: Are there any fees associated with submitting Form EA-117?
A: There are no fees associated with submitting Form EA-117.

Q: Can I get help filling out Form EA-117?
A: Yes, you can seek assistance from the Nebraska Department of Health and Human Services or other community organizations to help you fill out Form EA-117.

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Form Details:

  • Released on December 1, 2019;
  • The latest edition provided by the Nebraska Department of Health and Human Services;
  • 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 EA-117 by clicking the link below or browse more documents and templates provided by the Nebraska Department of Health and Human Services.

Download Form EA-117 Application for Economic Assistance Benefits - Nebraska

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