Special needs application form 2025

Get Form
special needs application form Preview on Page 1

Here's how it works

01. Edit your special needs application 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.

The best way to modify Special needs application form 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

Working on documents with our extensive and intuitive PDF editor is simple. Make the steps below to complete Special needs application form online easily and quickly:

  1. Sign in to your account. Sign up with your email and password or register a free account to try the product prior to upgrading the subscription.
  2. Upload a document. Drag and drop the file from your device or add it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
  3. Edit Special needs application form. Easily add and highlight text, insert images, checkmarks, and signs, drop new fillable fields, and rearrange or remove pages from your paperwork.
  4. Get the Special needs application form completed. Download your modified document, export it to the cloud, print it from the editor, or share it with others via a Shareable link or as an email attachment.

Make the most of DocHub, the most straightforward editor to rapidly handle your paperwork 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
Call the Human Resources Administration (HRA) information line at 718-557-1399. For SCRIE/DRIE: Call 3-1-1. For Medicaid Renewal: Call the HRA Medicaid Helpline at 888-692-6116. Welcome to ACCESS HRA online support.
Childcare Vouchers can be used to pay for a wide range of childcare including: Home based care such as childminders, nannies and au pairs. Pre-school care such as nursery schools, play schools and crches. Care for older children such as out of school clubs (breakfast clubs, afterschool clubs) and holiday clubs.
All you need is your six (seven) digit Provider (Program) Identification Number, the last 4 digits of your Taxpayer Identification Number (TIN), either your SSN or EIN, and your email address. You can also docHub out to the Child and Family Well-Being Call Center at 212-835-7610 to check on the status of payment.
Need help? Please call the ACS Call Center at 212-835-7610, Mon-Fri 8:30am-5:30pm. Alternatively, you may choose to apply by mail. Printable application forms can be found on our Forms for Families page.
How to apply for a FHEPS Voucher? Apply for FHEPS at a Human Resources Administration (HRA) Benefits Access Center or HRA Homebase location (found here). If you already receive Cash Assistance, submit a special grant request on the ACCESS HRA app.
be ready to get more

Complete this form in 5 minutes or less

Get form