This is a legal form that was released by the South Carolina Department of Health and Human Services - a government authority operating within South Carolina. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DHHS Form 3402?
A: DHHS Form 3402 is the Presumptive Eligibility Application form.
Q: What is the purpose of DHHS Form 3402?
A: The purpose of DHHS Form 3402 is to apply for presumptive eligibility for healthcare programs in South Carolina.
Q: Who can use DHHS Form 3402?
A: Any individual who believes they may be eligible for healthcare programs in South Carolina can use DHHS Form 3402.
Q: Is DHHS Form 3402 specific to South Carolina?
A: Yes, DHHS Form 3402 is specific to the healthcare programs in South Carolina.
Q: What information do I need to provide on DHHS Form 3402?
A: You will need to provide personal information such as your name, address, income, and household size on DHHS Form 3402.
Q: How do I submit DHHS Form 3402?
A: DHHS Form 3402 can be submitted in person or by mail to your local DHHS office.
Q: What happens after I submit DHHS Form 3402?
A: After you submit DHHS Form 3402, your eligibility for healthcare programs will be determined.
Q: Is there a deadline for submitting DHHS Form 3402?
A: There is no specific deadline for submitting DHHS Form 3402, but it is recommended to apply as soon as possible.
Form Details:
Download a fillable version of DHHS Form 3402 by clicking the link below or browse more documents and templates provided by the South Carolina Department of Health and Human Services.