Get Helping Hand Application Form

Completing the Helping Hand Application Form online is a crucial step towards obtaining assistance for uninsured individuals. This guide will provide you with a clear and structured approach to navigating each section of the form, ensuring you submit a comprehensive application.

Follow the steps to successfully complete your application.

1. Click the ‘Get Form’ button to access the Helping Hand Application Form and open it in your preferred online editor.
2. Begin with Part 1, titled 'General Information About Your Family.' Fill in your name and that of your spouse (if applicable), along with your contact information and social security numbers. Be precise and ensure all fields are populated accurately.
3. Complete the employment section by providing details about your current employment status. Indicate if you or your spouse are employed, unemployed, or receiving unemployment benefits. Specify the name of your employer, pay rate, occupation, and employment dates.
4. In Part 2, labeled 'Your Family’s Income,' document all sources of income received by you and your spouse. Be thorough in listing your income from all sources, including social security, employment, and alimony. Ensure that you attach relevant proof of income for each listed source.
5. Utilize the Checklist and Certification section to confirm that all required documents are attached. Declare the accuracy of the information provided by signing in the designated area.
6. If applicable, have your supporter complete Part 3 by detailing the financial assistance they provide. Ensure they include their contact information and sign the document as well.
7. Review all sections for completeness and accuracy. Once everything is filled out correctly, you can save the changes, download the form for your records, and print it for submission.
8. Finally, submit the completed application and all necessary documents within the specified deadline of two weeks.

Take the first step towards assistance by completing the Helping Hand Application Form online today.