Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas

Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas

What Is Form DCO-0004?

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

FAQ

Q: What is Form DCO-0004?
A: Form DCO-0004 is the application for SNAP, Health Care, and TEA/RCA benefits in Arkansas.

Q: What benefits can I apply for using Form DCO-0004?
A: You can apply for SNAP (Supplemental Nutrition Assistance Program), Health Care, and TEA/RCA (Transitional Employment Assistance/Refugee Cash Assistance) benefits using Form DCO-0004.

Q: What is SNAP?
A: SNAP (Supplemental Nutrition Assistance Program) is a federal program that helps low-income individuals and families afford nutritious food.

Q: What is Health Care?
A: Health Care refers to medical assistance programs that provide coverage for healthcare services to eligible individuals.

Q: What is TEA/RCA?
A: TEA/RCA stands for Transitional Employment Assistance/Refugee Cash Assistance. It provides temporary cash assistance to eligible individuals who are unemployed or underemployed.

Q: What information do I need to provide on Form DCO-0004?
A: You will need to provide personal information, income details, household information, and other required documentation as stated on the form.

Q: How do I submit Form DCO-0004?
A: You can submit Form DCO-0004 by mail, fax, or in person at your local DHS office.

Q: Is there a deadline for submitting Form DCO-0004?
A: There is no specific deadline for submitting Form DCO-0004, but it is recommended to submit the application as soon as possible to avoid any delay in receiving benefits.

ADVERTISEMENT

Form Details:

  • Released on August 1, 2020;
  • The latest edition provided by the Arkansas Department of Human Services;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DCO-0004 by clicking the link below or browse more documents and templates provided by the Arkansas Department of Human Services.

Download Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas

4.6 of 5 (20 votes)
  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas

    1

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 2

    2

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 3

    3

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 4

    4

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 5

    5

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 6

    6

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 7

    7

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 8

    8

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 9

    9

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 10

    10

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 11

    11

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 12

    12

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 13

    13

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 14

    14

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 15

    15

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 16

    16

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 17

    17

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 18

    18

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 19

    19

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 20

    20

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 21

    21

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 22

    22

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 23

    23

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 24

    24

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 25

    25

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 26

    26

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 27

    27

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 28

    28

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 29

    29

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 30

    30

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 31

    31

  • Form DCO-0004 Application for Snap, Health Care, and Tea/Rca Benefits - Arkansas, Page 32

    32

  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 1
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 2
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 3
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 4
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 5
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 6
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 7
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 8
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 9
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 10
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 11
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 12
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 13
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 14
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 15
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 16
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 17
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 18
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 19
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 20
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 21
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 22
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 23
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 24
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 25
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 26
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 27
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 28
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 29
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 30
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 31
  • Form DCO-0004 Application for Snap, Health Care, and Tea / Rca Benefits - Arkansas, Page 32
Prev 1 2 3 4 5 ... 32 Next
ADVERTISEMENT