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  • Energy Assistance Authorized Representative Form

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APPLICATION FOR ENERGY ASSISTANCE AUTHORIZED REPRESENATIVE FORMI, authorize (PRINT NAME OF APPLICANT) (PRINT NAME OF AUTHORIZED REPRESENTATIVE) to apply for Energy Assistance on my behalf. Please.

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Recipients wishing to change their MCO plan outside of the annual open enrollment period may contact the Division of Health Care Financing and Policy (DHCFP) or their current MCO orally or in writing for permission to disenroll and show good cause.

Energy Assistance Program: The Energy Assistance Program (EAP) provides a supplement to assist qualifying low-income Nevadans with the cost of home energy.

The Child Support Division has a voice response unit ( vru ) telephone number for information on child support payments, office locations, and general child support information. Each client must call (775) 684-0500 or 800-992-0900 ext.

o English (pressed 1): If you are a recipient calling about Medicaid eligibility, Medicaid benefits or Managed Care HMO changes, please listen for the following options. For persons living in northern Nevada, please call (775) 687-1900. For southern Nevada, please call (702) 668-4200. To repeat, please press 9.

THE LAW SAYS YOU MUST REPORT CHANGES TO US WITHIN 10 DAYS AFTER THE CHANGE HAPPENS IF YOU ARE RECEIVING SNAP BENEFITS AND BY THE 5TH OF THE FOLLOWING MONTH FOR TANF AND/OR MEDICAL ASSISTANCE. Fill in the spaces below. (You can write an explanation on a separate sheet of paper.)

There are four easy ways to make sure your address is updated and correct. Send by email: welfare@dwss.nv.gov, FAX: 702-486-1837 or US mail: DWSS, P.O. Box 15400 Las Vegas, NV 89114 or carry to any office listed at the web address under number 2 above. lease be prepared for extended wait times.

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© 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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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