Get Application-for-assistance-for-one-person.pdfoct 10 2012 - Dhr State Md

Filling out the Application for Assistance for One Person is an important step toward receiving essential support. This guide provides clear, step-by-step instructions to help you navigate the form effectively and ensure your application is completed accurately.

Follow the steps to complete the application successfully.

1. Use the ‘Get Form’ button to access the application. This will allow you to obtain the form and begin filling it out online.
2. Start with part one of the application, which requests identifying information. Complete your last name, first name, and any middle name you may have. Indicate your primary language and answer whether you are visually or hearing impaired.
3. In section two, provide your current residential address, including the street number, city, state, and zip code. Make sure to include your apartment number and a phone number where you can be contacted.
4. If your mailing address is different from your residential address, fill out section three with the relevant mailing details.
5. Proceed to section four, which covers expedited services for the Food Supplement Program. Answer all questions honestly to determine if you qualify for expedited benefits.
6. In section five, you may designate an authorized representative if desired. Include their information and specify the roles you wish them to perform on your behalf.
7. Complete section six, which details individual information. This includes your Social Security number, date of birth, ethnicity, race, and whether you receive benefits in another state.
8. Continue filling out sections regarding income and assets, including any medical expenses, disability status, and shelter costs. Ensure you provide accurate financial data as it is crucial for your eligibility assessment.
9. Once you have filled out all relevant sections, review your application for accuracy. It’s important that all the information is complete to avoid delays.
10. Finally, save your changes and download or print the form for your records. Submit the application copies through the appropriate channels for processing.

Complete your application online today to ensure timely assistance!