Get the up-to-date BFA Form 800 Application for AssistanceNew Hampshire 2024 now

Get Form
BFA Form 800 Application for AssistanceNew Hampshire Preview on Page 1

Here's how it works

01. Edit your form online
01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.

The easiest way to edit BFA Form 800 Application for AssistanceNew Hampshire in PDF format online

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2

Adjusting documents with our feature-rich and intuitive PDF editor is straightforward. Make the steps below to fill out BFA Form 800 Application for AssistanceNew Hampshire online quickly and easily:

  1. Log in to your account. Log in with your credentials or create a free account to try the product prior to choosing the subscription.
  2. Upload a document. Drag and drop the file from your device or import it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
  3. Edit BFA Form 800 Application for AssistanceNew Hampshire. Quickly add and highlight text, insert pictures, checkmarks, and signs, drop new fillable fields, and rearrange or delete pages from your paperwork.
  4. Get the BFA Form 800 Application for AssistanceNew Hampshire accomplished. Download your adjusted document, export it to the cloud, print it from the editor, or share it with other people through a Shareable link or as an email attachment.

Benefit from DocHub, one of the most easy-to-use editors to quickly manage your documentation online!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
Contact the DHHS Customer Service Center toll-free at 1-844-ASK-DHHS (1-844-275-3447) (TDD Relay Access: 1-800-735-2964), Monday through Friday, 8:00 a.m. to 4:00 p.m. ET. Medicaid Contact Directory | New Hampshire Department of Health nh.gov medicaid-contact-directory nh.gov medicaid-contact-directory
Proof of all sources of income for everyone living in the household (ex. pay stubs for the last 30 days, unemployment letter, court order [or letter from Family Court] verifying amount of child support, income tax return for self-employed persons only, social security, disability, pension). SNAP Enrollment Documentation Checklist nrpa.org contentassets snap-enrollment-d nrpa.org contentassets snap-enrollment-d
To be eligible for New Hampshire Family Assistance, you must be a resident of New Hampshire, and a U.S. citizen, legal alien or qualified alien. You must be unemployed or underemployed and have low or very low income. You must also be one of the following: Have a child 18 years of age or younger, or.
To be eligible for New Hampshire Family Assistance, you must be a resident of New Hampshire, and a U.S. citizen, legal alien or qualified alien. You must be unemployed or underemployed and have low or very low income. You must also be one of the following: Have a child 18 years of age or younger, or. New Hampshire Financial Assistance for Needy Families Program (FANF) benefits.gov benefit benefits.gov benefit
Who is eligible for New Hampshire Medicaid? Household Size*Maximum Income Level (Per Year)1$19,3922$26,2283$33,0644$39,9004 more rows New Hampshire Medicaid | Benefits.gov benefits.gov benefit benefits.gov benefit
be ready to get more

Complete this form in 5 minutes or less

Get form

People also ask

Call the NH Medicaid Provider Call Center if you have questions while doing your Revalidation: 866- 291-1674.
Lori Weaver is the Commissioner of the New Hampshire Department of Health and Human Services (DHHS).

Related links