Get What Elements Must Be Met For A Hardship Waiver?

This guide provides clear and detailed instructions on how to fill out the What Elements Must Be Met For A Hardship Waiver? form online. By following these steps, users can effectively complete the form to request a waiver based on undue hardship.

Follow the steps to successfully complete your hardship waiver request.

1. Click ‘Get Form’ button to access the hardship waiver form and open it in your preferred online editor.
2. Begin by filling in the decedent's name, social security number, and date of birth in the respective fields. Ensure all information is accurate and complete.
3. Provide the decedent's property address, including the city, state, and zip code, along with the county where the property is located.
4. Enter your name, relationship to the decedent, and your address including city, state, and zip code. Also, include your telephone number.
5. If you are the individual requesting the waiver and it differs from the previous section, fill out your relationship to the decedent and provide your contact information.
6. In the section regarding the decedent’s primary residence, provide the date you moved into the residence and the date you began caring for the decedent.
7. Specify if you have lived at the property continuously for two years prior to the decedent receiving nursing home care and supply documentation if confirmed.
8. Indicate whether you provided care or support to the decedent for two years before nursing home care was received, and include required statements from third parties if applicable.
9. Answer whether you have any alternative permanent residence. If you do not, complete and return the notarized No Alternative Permanent Residence Affidavit.
10. In the 'Other Information' section, include any additional details that may support your waiver request.
11. Acknowledge the information is subject to penalties for falsification and provide your signature and date at the end of the form.
12. Finally, save your changes, download, print, or share the completed form as needed before submission.

Complete your hardship waiver request form online today.