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Get Pa Dhs Pa 1829 2016-2026
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How to fill out the PA DHS PA 1829 online
The PA DHS PA 1829 form is used to request a voluntary withdrawal of benefits or an application. This guide provides clear instructions on how to complete the form online, ensuring you can navigate it with ease.
Follow the steps to successfully complete the PA DHS PA 1829 form
- To begin, click the ‘Get Form’ button to access the PA DHS PA 1829 form and open it in your preferred editor.
- In the 'CAO Name and Address' section, provide the name and address of the County Assistance Office (CAO) handling your case.
- Identify your case by filling in the details in the 'CASE IDENTIFICATION' section, including the record number, category, and any other requested identifiers.
- In the 'VOLUNTARY WITHDRAWAL FORM' section, write your name and address clearly. Also include your telephone number.
- Indicate your intent to withdraw from benefits or close your application by filling in your name in the statement provided.
- Fill out the specific benefits you wish to withdraw from: cash, MA (medical assistance), FS (food stamps), or indicate it applies to your entire household.
- Use the comments section to add any additional information that may be necessary or useful for your case.
- Read the statement regarding reapplying for benefits and understand your rights before signing the form.
- Finally, sign and print your name, and provide the date of signing at the end of the form.
- Once you have completed the form, save your changes, and choose to download, print, or share the document as needed.
Complete your documents online now to ensure timely processing.
Related links form
You can apply for or renew your cash assistance benefits online by using COMPASS. The COMPASS website is the online DHS tool where you can apply for and renew services that can help you make ends meet. Learn more about cash assistance programs below: Temporary Assistance for Needy Families (TANF) | TANF infographic.