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2011. PROFIT OR LOSS FROM BUSINESS. Name of Proprietor Principal Business. Business Name. Employer I.D. No. Principal Address. Business Code .

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Families must be experiencing or threatened by one or more of the following: Homelessness; Termination of a utility; or. Lack of heat, hot water or cooking fuel.

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.

To request forms, please email forms@dra.nh.gov or call the Forms Line at (603) 230-5001. If you have a substantive question or need assistance completing a form, please contact Taxpayer Services at (603) 230-5920.

Income: Earned Income: 4 weeks of current and consecutive pay stubs, or BFA Form 756. This includes: On the Job Training, Work Study, Stipend/Grant, VISTA, Summer Youth Program, Senior Citizens Community Service, or Census Bureau income. If Self-Employed: Profit/Loss Worksheet, Schedule C, or other income tax return.

New Hampshire Department of Health & Human Services (DHHS) Provides services for individuals, children, families and seniors, and administers programs and services such as mental health, developmental disability, substance abuse, and public health.

Income & Asset Limits for Eligibility 2023 New Hampshire Medicaid Long-Term Care Eligibility for SeniorsType of MedicaidSingleIncome LimitAsset LimitInstitutional / Nursing Home Medicaid$2,742 / month*$2,500Medicaid Waivers / Home and Community Based Services$2,742 / month†$2,5001 more row • Feb 17, 2023

Henry Lipman, Director In this role, he supports DHHS Divisions in developing, implementing, operating and financing the joint federal/state partnership for the services under the NH state plan and the waivers for NH's Medicaid Program.

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© Copyright 1997-2025
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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