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How to fill out the MD DHS/FIA 340 online

This guide provides clear instructions on how to complete the MD DHS/FIA 340 form online. Whether you are filing for yourself or on behalf of someone else, this step-by-step guide will assist you in navigating the process efficiently.

Follow the steps to complete the MD DHS/FIA 340 form with ease.

  1. Click 'Get Form' button to obtain the form and access it in the online editor.
  2. Begin with the applicant's information: Provide the full name, address, and contact number of the individual who is filling out the form.
  3. In the next section, specify the relationship to the individual receiving assistance, using neutral terms such as partner or friend.
  4. Fill out information regarding the individual's personal details, including date of birth and social security number. Ensure all entries are accurate.
  5. Complete the section regarding household details: list all members of the household, their relationship, and their income sources.
  6. Review the eligibility criteria for the program and check the appropriate box indicating your understanding and acceptance.
  7. Finally, ensure all sections are completed. Save your changes, and you can also download, print, or share the completed form as needed.

Complete your form online today for a smooth and efficient filing experience.

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The DHR/FIA 340 form is a 4-copy, 2-sided NCR form. The form uses a “question and answer” format, and is designed to walk the customer and the local department case manager through the IAR process. The customer and case manager complete, sign and date the reverse side of the Form.

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