DHHS Form 3402 Presumptive Eligibility Application - South Carolina

DHHS Form 3402 Presumptive Eligibility Application - South Carolina

What Is DHHS Form 3402?

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.

FAQ

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.

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Form Details:

  • Released on September 1, 2016;
  • The latest edition provided by the South Carolina 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 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.

Download DHHS Form 3402 Presumptive Eligibility Application - South Carolina

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