Maryland Telephone Screening Form

State:
Multi-State
Control #:
US-393EM
Format:
Word; 
Rich Text
Instant download

Description

This form is used to screen potential employees via the telephone.

Maryland Telephone Screening Form is a document used by the state of Maryland to assess a caller's eligibility and need for specific services or assistance provided by various state agencies. This form helps gather important information about a caller's situation, which can then be used to determine the appropriate course of action or refer the individual to the appropriate resources. Keywords: Maryland, Telephone Screening Form, eligibility, caller, services, assistance, state agencies, information, situation, course of action, resources. Different types of Maryland Telephone Screening Forms may exist depending on the specific agency or service being sought. Some notable ones include: 1. Maryland Health Connection Telephone Screening Form: This form is used when individuals call the Maryland Health Connection, the state-based health insurance marketplace. It collects essential information about the caller's health insurance needs, income, and household composition to determine eligibility for various health coverage programs available. 2. Maryland Department of Human Services Telephone Screening Form: This form is utilized for callers seeking assistance from the Maryland Department of Human Services. It requests relevant details about the caller's income, expenses, household composition, and specific needs, allowing the department to determine eligibility for programs such as Temporary Cash Assistance, Food Supplement Program, Medical Assistance, and Energy Assistance. 3. Maryland Department of Labor Telephone Screening Form: Individuals seeking employment-related assistance can encounter this form when contacting the Maryland Department of Labor. It extracts information about the caller's job-seeking status, work history, current employment situation, and specific assistance required. This form helps assess eligibility for programs like Unemployment Insurance, Job Placement Assistance, and Apprenticeship Opportunities. 4. Maryland Department of Aging Telephone Screening Form: This form is used to assist seniors and their caregivers who contact the Maryland Department of Aging. It gathers details on the caller's age, physical and mental health conditions, living arrangements, and specific needs. This information aids in determining eligibility for Aging and Disability Resource Centers, Home and Community-Based Services, and other senior assistance programs. By utilizing the different types of Maryland Telephone Screening Forms, the state can efficiently assess callers' needs and eligibility for a wide array of assistance programs. These forms streamline the process by collecting relevant information, enabling state agencies to provide the appropriate services or direct individuals to the correct resources.

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Maryland Telephone Screening Form