Home
Forms Library
This is an application to renew your eligibility for benefits

This is an application to renew your eligibility for benefits 2025

This is an application to renew your eligibility for benefits Preview on Page 1

See details

4.8 out of 5

51 votes

The document is a renewal application for various assistance programs in Virginia, including Auxiliary Grant (AG), Supplemental Nutrition Assistance Program (SNAP), and Temporary Assistance for Needy Families (TANF). It requires detailed household information, including personal details of all household members, income sources, resources, and any changes in circumstances since the last application. The form also includes sections on voter registration and nondiscrimination statements, emphasizing the importance of accurate information for eligibility determination.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

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

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out This is an application to renew your eligibility for benefits with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'Household Information' section. Enter your name, address, and contact details accurately. Ensure that you provide a valid email and phone number for correspondence.
In the 'Household Composition' section, list all individuals living in your home. Include their names, relationships to you, birth dates, and Social Security numbers if applicable.
Proceed to the 'Resources' section. Indicate any assets or resources owned by you or household members. Be thorough in listing joint ownerships and balances.
Complete the 'Income' section by detailing all sources of income for yourself and household members. Include job details, expected earnings, and any other financial support received.
Review all entered information for accuracy before submitting the form through our platform. Make sure to save your progress frequently.

Start using our platform today to easily complete your application for free!

See more This is an application to renew your eligibility for benefits versions

We've got more versions of the This is an application to renew your eligibility for benefits form. Select the right This is an application to renew your eligibility for benefits version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (51 Votes)
2017	4.2 Satisfied (23 Votes)
2017	5 Satisfied (47 Votes)

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.

How do I renew my Ohio benefits?

You can complete renewals and upload documents on your Ohio Benefits Self-Service Portal (SSP) account. Log in or create a new account at ssp.benefits.ohio.gov. Renewal information can also be mailed to your local JFS office or dropped off in person.

What is the monthly income limit for Medicaid in Virginia?

Medicaid for adults age 19-64 Household sizeYearlyMonthly 1 $21,597 $1,800 2 $29,187 $2,433 3 $36,777 $3,065 4 $44,367 $3,6985 more rows

How do I check my Medicaid status in Virginia?

To check your status, you can log in to your account at commonhelp.virginia.gov by clicking the Check My Benefits button or call Cover Virginia at 1-855-242-8282 (TDD: 1-888-221-1590). 20. How soon after an approval for Medicaid do I receive my benefits?

How do I renew my DSS eligibility in CT?

You must renew online at .CONNECT.ct.gov or by phone with our partner Access Health CT at (855) 805-4325. You can also call (855) 805-4325 and ask for a paper form. Renewing online is fastest. This form is only to renew eligibility for the benefits you get now or to add new members of your household.

How does Medicaid work in Virginia?

How does Virginia Medicaid work? The federal and state governments share the costs to provide low-cost health coverage to eligible Virginians. Individuals can apply at any time to see if they are eligible for Medicaid health coverage.

Does Florida Medicaid automatically renew?

Over the course of 12 months the Department will review all Medicaid cases to ensure recipients are eligible for benefits. Many individuals will be the beneficiary of an automatic review and approval to continue Medicaid eligibility (also called passive renewal or ex parte renewal).

Do you have to renew Medicaid every year in Virginia?

You must renew your Virginia Medicaid health coverage each year. This is called an annual renewal. If your local department of social services (DSS) has all the information to complete your renewal, it will be reviewed automatically.

Does Virginia automatically renew Medicaid?

Health coverage from Virginia Medicaid needs to be renewed each year. This is called an annual renewal. If your local department of social services has all of the information needed to complete your renewal, this process will be done automatically.

This is an application to renew your eligibility for benefits 2025

Here's how it works

How to use or fill out This is an application to renew your eligibility for benefits with our platform