Dhhs form 3218-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name as it appears on your Social Security card. Use one box for each letter, ensuring you use capital letters.
3. Fill in your Social Security number and date of birth in the designated fields. Make sure to double-check for accuracy.
4. If applicable, provide information about your spouse, including their name and Social Security number. If you are not married, skip this step.
5. Complete the financial information section by listing all bank accounts and assets. Remember to only enter dollar amounts without symbols.
6. Review all entries for completeness and accuracy before submitting. Ensure that no additional comments are handwritten on the form.
7. Once completed, save your document and either print it for mailing or submit it electronically through our platform.

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