Arkansas Change of Family Status Request Form

State:
Multi-State
Control #:
US-133EM
Format:
Word; 
Rich Text
Instant download

Description

This form may be used to request a change of status within an employee's family situation for the purpose of company benefits.
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How to fill out Change Of Family Status Request Form?

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FAQ

You move to a new address. anything happens that might affect your eligibility. If you aren't sure, contact the DHS office in your county or call 1-800-482-8988.

You may call or email the DHS County Office at the phone number or webmail address shown to report changes for your TEA, Medicaid, or SNAP case(s). Please use the toll-free number provided if the DHS County Office number is long distance.

It performs and oversees a variety of services for the citizens of Arkansas, including regulating nursing homes and childcare facilities, operating human development centers for the state's mentally challenged residents, conducting adoption and foster home programs, and providing mental health services.

You can use the ABE Manage My Case portal to manage your Medical, SNAP and Cash benefits - online, anytime.

Cindy Gillespie serves as the Arkansas Department of Human Services (DHS) Secretary. She is responsible for leadership and oversight of the department's efforts, which support the health and well-being of all Arkansans, especially those who are most in need.

Health Care, SNAP, and TEA Learn more about the new features on Access Arkansas that make it easy to apply and manage your information online: Submit a single application for an entire family online, by mail or phone, or in person at local county offices statewide. Renew your case or update information online.

Arkansas will receive an increase of $145 million in benefits for the fiscal year 2022, according to the USDA Food and Nutrition Service. Vilsack added that because the 15% increase in benefits authorized by Congress is set to expire Sept.

You may call or email the DHS County Office at the phone number or webmail address shown to report changes for your TEA, Medicaid, or SNAP case(s). Please use the toll-free number provided if the DHS County Office number is long distance.

This year, children aged 6 and under who attended childcare and were a part of an active SNAP case between October 2020 and May 2021 are also eligible. The benefit will be loaded onto the family's EBT card by July 31.

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Arkansas Change of Family Status Request Form