Get Wv Dhhr Dfa-2 2020-2025

The WV DHHR DFA-2 form is essential for individuals seeking various benefits such as health coverage, SNAP, and cash assistance in West Virginia. Filling out this form accurately online is crucial to ensure you receive the benefits you may be eligible for in a timely manner.

Follow the steps to efficiently complete the WV DHHR DFA-2 form online.

1. Press the ‘Get Form’ button to acquire the WV DHHR DFA-2 form and open it in an editable format.
2. Begin filling out your personal details. Provide your full name, date of birth, mailing address, and telephone number. Ensure accuracy in your contact information as it is vital for future communications.
3. Indicate whether you wish to receive information about your application via email and provide your email address. This helps facilitate timely updates.
4. If applicable, designate an authorized representative by providing their name and contact details. This individual can assist you in the application process.
5. Complete the section on household income. Provide detailed information about cash or bank account balances, expected monthly income, and other relevant financial resources.
6. In the benefit questions section, check off the types of assistance you are applying for, such as health coverage, SNAP, or other programs.
7. For each household member, fill out their legal name, date of birth, relationship to you, and citizenship status. This information is required for eligibility determination.
8. Review the declarations regarding any felony convictions or other relevant legal inquiries that might affect eligibility. Ensure all information is truthful and complete.
9. Once all sections are complete, save your changes. You can also download, print, or share the form if necessary.

Complete the WV DHHR DFA-2 form online today to ensure your application for benefits is submitted without delay.