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  • Ak Dhss Gen 50c (06-3860) 2021

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State of Alaska Department of Health and Social Services Division of Public Assistance http://dhss.alaska.gov/dpa/Application for Services If you need help filling out this form or have questions,.

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How to fill out the AK DHSS GEN 50C (06-3860) online

The AK DHSS GEN 50C (06-3860) is an essential form for applying for various public assistance programs in Alaska. This guide will provide you with clear and comprehensive steps needed to complete the form effectively online.

Follow the steps to successfully fill out the AK DHSS GEN 50C (06-3860) online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin with the identification section by providing your legal name, address, and contact information accurately. Ensure all details are correct for effective communication.
  3. Navigate to the 'Programs' section and select all assistance programs you are applying for. Mark your choices clearly.
  4. In the 'People in your household' section, list all household members, including their names, dates of birth, social security numbers, and relationships to you.
  5. In the 'Income' section, report each source of income for all members of the household. Be honest and thorough as this information is critical for your application.
  6. Complete the section about 'Assets, Expenses, Resources, and Other'. Include details about properties, vehicles, and any relevant financial information.
  7. Read and understand the rights and responsibilities stated in the document. Your acknowledgment is important for the application process.
  8. Upon completing all sections, review the form for accuracy. Check all entered information against your documents.
  9. Save your changes regularly as you fill out the form. Be sure to download a copy for your records once completed.
  10. Finally, submit your application electronically as instructed. Ensure you receive confirmation of submission.

Complete your application for public assistance online today.

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Contact support

The Division of Public Assistance has launched their Virtual Contact Center (VCC): 800-478-7778.

Eligible Families: To receive Temporary Assistance, the family must have less than $2,000 in countable resources, or $3,000 if the family includes an individual who is 60 or older. Resources that do not count include the family's home, household goods and personal property, and most vehicles.

You can call the IVR line at 269-5777 or 1-888-804-6330 for information about your case status.

Notice: Division of Public Assistance offices are available through the Virtual Contact Center at 800-478-7778 regardless of your location.

Questions about a benefit application, your eligibility, or Alaska Medicaid eligibility cards? Alaska Medicaid members may now contact the Division of Public Assistance (DPA) Virtual Contact Center at 800.478. 7778 for real-time assistance.

If you are a recipient or a recipient advocate and have questions about Medicaid coverage, please call toll free 800-780-9972 statewide Monday through Friday between 8 a.m. and 5 p.m. After hours, please leave a message and your call will be returned the following business day.

Eligible Families: To receive Temporary Assistance, the family must have less than $2,000 in countable resources, or $3,000 if the family includes an individual who is 60 or older. Resources that do not count include the family's home, household goods and personal property, and most vehicles.

800-478-7778 or hss.dpa.offices@alaska.gov.

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