IA DHS 470-2881 2014 free printable template
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Iowa Department of Human Services IMAGINGCENTERADDRESS Review/Recertification Eligibility Document CUSTOMERCONTACTNAMEADDRESS Due Date DUEDATE Case Number CASENUMBER County Number COUNTYNUMBER Worker Name WORKERNAME Please follow the instructions of the checked boxes below. FIP/Refugee Cash Assistance It s time to review your case. Please fill out this form and send or bring it to the address above by DUEDATE. This information will be used to decide if you will continue to get Family...
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How to fill out IA DHS 470-2881
01
Gather necessary personal information such as your name, address, and Social Security number.
02
Review the specific instructions for IA DHS 470-2881 to understand the purpose of the form.
03
Fill out Section 1 with your personal details accurately.
04
Complete any required sections related to your household and income information.
05
Ensure that all required signatures and dates are included at the end of the form.
06
Double-check your entries for completeness and accuracy.
07
Submit the form to the appropriate DHS office either by mail or in person, as specified in the instructions.
Who needs IA DHS 470-2881?
01
Individuals applying for assistance programs provided by the Iowa Department of Human Services (DHS).
02
Families seeking to access benefits related to child care, food assistance, or other support services.
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People Also Ask about
What is the form for Medicaid reconsideration in Iowa?
Form 470-5526 shall be completed by the Medicaid member or their parent, if the member is a minor. The member and the authorized representative must both sign the form. Once completed, the form should be submitted to the Medicaid member's MCO, if for a managed care appeal, or to HHS, if for a state fair hearing.
What are the income guidelines for Iowa food stamps?
Households who have a member 60 or older, or a member with a disability, do not have a gross income limit.2022 Gross and Net Income Limits. Household SizeMax Gross Monthly IncomeMax Net Monthly Income2$1,984$1,5263$2,495$1,9204$3,007$2,3135$3,518$2,7064 more rows
What is the phone number for food stamp application in Iowa?
Call (855) 944. FOOD(3663) to apply for SNAP over the phone. Calls are taken 8 a.m. to 5 p.m. Monday – Friday, excluding major holidays.
How do I check the status of my food stamp application in Iowa?
If you submitted an online application, you can Check Your Status online. If you mailed your application or supporting documentation contact the SNAP Retailer Service Center at 1-877-823-4369 to find out the status of your application.
How do I recertify for food stamps in Iowa?
To find out the easiest way to renew in your county, call your caseworker, local office, or the Iowa SNAP hotline: 1-877-347-5678.
How do I report changes to DHS Iowa?
For problems or concerns regarding your local DHS office contact the Central Office at 1-800-972-2017 or by email at contactdhs@dhs.state.ia.us.
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What is IA DHS 470-2881?
IA DHS 470-2881 is a form used by the Iowa Department of Human Services for reporting and documenting certain information related to healthcare services or assistance.
Who is required to file IA DHS 470-2881?
Individuals or entities providing services that require reimbursement or assistance under the Iowa Department of Human Services programs may be required to file IA DHS 470-2881.
How to fill out IA DHS 470-2881?
To fill out IA DHS 470-2881, follow the instructions provided on the form, ensuring all required fields are completed with accurate information related to the services rendered and the client's information.
What is the purpose of IA DHS 470-2881?
The purpose of IA DHS 470-2881 is to document the services provided and facilitate the process of reimbursement or assistance from the Iowa Department of Human Services.
What information must be reported on IA DHS 470-2881?
The information reported on IA DHS 470-2881 typically includes client personal details, service dates, descriptions of services provided, billing information, and any other relevant documentation needed for processing.
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