We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • Nheasy

Get Nheasy

NH Department of Health and Human Services (DHHS) Division of Family Assistance (DFA) www.dhhs.nh.gov/dfa/index.htm DFA Form 800 06/16 APPLICATION FOR ASSISTANCE Welcome to the Department of Health.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Nheasy online

Filling out the Nheasy form is a crucial step in applying for assistance through the New Hampshire Department of Health and Human Services. This guide will provide you with clear and supportive instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the Nheasy application successfully.

  1. Press the 'Get Form' button to access the application and open it in the online editor.
  2. Begin by entering your full legal name in the designated field. This is essential for identifying your application.
  3. Provide your primary language to ensure effective communication during the application process.
  4. Indicate your current place of residence from the provided options, ensuring to select the most accurate choice.
  5. Fill out your mailing address if it differs from your current residence. This is important for correspondence.
  6. Input your contact numbers, including home, work, and cell numbers. If you do not have an email address, select that option.
  7. Detail why you need assistance by providing information in the appropriate section.
  8. List all individuals residing with you, starting with yourself. Include their full legal names, social security numbers (if applicable), birth dates, and relationship to you.
  9. Select the types of assistance you are applying for, such as cash, food stamps, or medical assistance.
  10. Complete the income and expense sections by providing accurate financial details, including all wages, benefits, and recurring costs.
  11. Review and confirm that all information provided is accurate. It is important to check for any errors or missing details.
  12. Once completed, you can save your changes, download a copy, print the application, or share it as needed.

Take action today and complete your Nheasy application online to access the assistance you need.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Related content

NH EASY - Gateway to Services
Apply now for Cash, Medical, SNAP (Food Assistance), Child Care, Medicare Beneficiary and...
Learn more
New Hampshire - Social Services Resources...
Find and print the most common DHHS forms online. • Find a streamlined view of your case...
Learn more
Manual Roda Da Reprodução 2.0 - UserManual.wiki
coberta, porém a prenhez ainda não foi confirmada. - novilha prenhe - fêmea que ainda...
Learn more

Related links form

Butler Job Description Pa Form Sp 4127 CRIMINAL HEARING CONTINUANCE REQUEST COMMONWEALTH IN THE - Co Somerset Pa In The Court Of Common Pleas County Of Judicial District Commonwealth Of Pennsylvania V Docket No

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Who is eligible for New Hampshire Medicaid? Household Size*Maximum Income Level (Per Year)1$19,3922$26,2283$33,0644$39,9004 more rows

To request disenrollment from your plan, call or write to NH DHHS. Contact the NH DHHS Customer Service Center at 1-844-ASK-DHHS (1-844-275-3447) (TDD Access Relay: 1-800-735-2964), Monday through Friday, 8 a.m. – 4 p.m. ET.

Service authorization requests for Medicaid Fee for Service recipients can be found on the MMIS online portal. All service authorizations should be submitted via secure email at ServiceAuthorizationFFS@dhhs.nh.gov.

Questions? Contact the DHHS Customer Service Center toll-free at 1-844-ASK-DHHS (1-844-275-3447) (TDD Relay Access: 1-800-735-2964), Monday through Friday, 8:00 a.m. to 4:00 p.m. ET.

NH Healthy Families provides the same benefits as Medicaid, plus more.

If you are required to report changes (check the reporting requirements handout, DFA Form. 215, for more information), you can do 1 of 2 things: 1) Log into your NH EASY account and report your change online; or. 2) Call your Local District Office and follow the instructions below:

They must have limited income, limited assets, and a medical need for care. In 2023, a single individual applying for Nursing Home Medicaid in NH must meet the following criteria: 1) Have income under $2,742 / month 2) Have assets under $2,500 3) Require the level of care provided in a nursing home facility.

Contact the DHHS Customer Service Center toll-free at 1-844-ASK-DHHS (1-844-275-3447) (TDD Relay Access: 1-800-735-2964), Monday through Friday, 8:00 a.m. to 4:00 p.m. ET. Contact your local District Office.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Nheasy
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Nheasy
This form is available in several versions.
Select the version you need from the drop-down list below.
2024 NH BFA Form 800
Select form
  • 2024 NH BFA Form 800
  • 2023 NH BFA Form 800
  • 2017 NH BFA Form 800
  • 2014 NH BFA Form 800
  • Nheasy
Select form