Get Pub1301 Statewide

This guide provides a comprehensive overview of how to complete the Pub1301 Statewide application form for Temporary Assistance, Medical Assistance, Food Stamp Benefits, and Child Care Assistance. By following these clear and detailed instructions, you will be able to accurately provide the necessary information required for your assistance request.

Follow the steps to complete the Pub1301 Statewide application online.

1. Press the ‘Get Form’ button to access the application form and open it in the editor.
2. In the Programs section, check the box for each program you wish to apply for. Ensure to specify if you want both Temporary Assistance and Medical Assistance.
3. Complete the Applicant Information section by printing your legal name, marital status, phone number, residence address, and mailing address if different.
4. Indicate how long you have lived at your current address and provide directions to your home using well-known landmarks.
5. List all household members in the Household Members Information section. Include their names, dates of birth, sex, relationship to you, and Social Security Numbers if applicable.
6. In the Citizenship/Alien Status Information section, provide the required information to confirm eligibility. If you are applying for Medical Assistance, ensure to complete the certification as necessary.
7. Report any absent parent, child support, or medical support information relevant to your household situation.
8. Fill in your income information accurately. Document all sources of income for yourself and household members applying for assistance.
9. Complete the employment and education/training information sections for all applicants. Provide details on employment status and children’s schooling.
10. Answer questions regarding resources and medical information. Clearly list all relevant details about your assets and health insurance coverage.
11. Document your shelter information, including your housing costs, and any other expenses that may be relevant for your application.
12. Review all the completed sections for accuracy and clarity. If everything is satisfactory, save your changes, and choose to download, print, or share your form as needed.

Complete your application for assistance online today to ensure timely support and access to necessary programs.