State of Maryland - Maryland Department of Human Services 2026

1. Click ‘Get Form’ to open the application in the editor.
2. Begin with Section 1, providing your personal information. Fill in your name, address, contact details, date of birth, and Social Security number clearly.
3. Proceed to Section 2 if applicable, entering your spouse's information. Ensure you indicate whether you are applying for benefits on their behalf.
4. In Section 3, list your assets. Provide current values for savings, checking accounts, and any other relevant financial information.
5. Move to Section 4 to detail your income sources. Include amounts received from Social Security, pensions, or any other income streams.
6. Complete Sections 5 through 7 as needed. For vehicles and health insurance details, ensure all fields are filled accurately.
7. Finally, sign and date the application in Section 8 before removing pages 1 through 4 for mailing to your local department of social services.

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