Hardship Mileage Waiver Form - Vermont

Hardship Mileage Waiver Form - Vermont

Hardship Mileage Waiver Form is a legal document that was released by the Department of Vermont Health Access - a government authority operating within Vermont.

FAQ

Q: What is a Hardship Mileage Waiver Form?
A: A Hardship Mileage Waiver Form is a document used in Vermont to request a waiver of the requirement to complete a certain number of miles in order to receive public assistance.

Q: Who can use a Hardship Mileage Waiver Form?
A: Anyone who receives public assistance in Vermont and is unable to meet the required mileage can use a Hardship Mileage Waiver Form.

Q: How do I get a Hardship Mileage Waiver Form?
A: You can obtain a Hardship Mileage Waiver Form from your local Vermont Department of Social Services office.

Q: What information is required on a Hardship Mileage Waiver Form?
A: A Hardship Mileage Waiver Form typically requires information such as your name, address, contact information, and a detailed explanation of why you are unable to meet the required mileage.

Q: What should I do once I have completed the Hardship Mileage Waiver Form?
A: Once you have completed the Hardship Mileage Waiver Form, you should submit it to your local Vermont Department of Social Services office for review.

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Form Details:

  • Released on January 1, 2021;
  • The latest edition currently provided by the Department of Vermont Health Access;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Department of Vermont Health Access.

Download Hardship Mileage Waiver Form - Vermont

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