Dhs 3876 eng-2026

1. Click 'Get Form' to open the DHS-3876 ENG application in the editor.
2. Begin by reading the Notice of Privacy Practices and Rights and Responsibilities. It's crucial to understand your rights before proceeding.
3. Fill in your personal information in Section 1, including your name, date of birth, and contact details. Ensure accuracy as this information is vital for processing your application.
4. In Section 2, list all household members living with you. Provide their names, social security numbers, and relationships to you.
5. Complete Sections 3 through 13 by answering questions about citizenship status, income sources, assets, and any medical coverage you currently have.
6. Review all sections for completeness. If additional space is needed for answers, attach a separate sheet with the question number referenced.
7. Sign and date the application in the designated area. Remember that an authorized representative must also sign if applicable.
8. Attach required proofs as listed on page A of the form. This may include income statements or identification documents.
9. Submit your completed application by mailing it to your county agency using the addresses provided on pages B and C.

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