NH DFA Form 778 2017 free printable template
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NH Department of Health and Human Services (HHS)
Division of Family Assistance (DFA)DFA Form 778
05/17AUTHORIZED REPRESENTATIVE (AR) DECLARATION
You may choose an Authorized Representative (AR) to
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How to fill out dfa form 778
How to fill out NH DFA Form 778
01
Begin by downloading the NH DFA Form 778 from the official website or obtaining a physical copy from a local office.
02
Fill in the applicant's personal information, including name, address, date of birth, and Social Security number.
03
Provide details about the family members living in the household, such as their names and relationships to the applicant.
04
Complete the sections that ask about income sources, expenses, and any other financial information as required.
05
Sign and date the form at the designated area to confirm that the information is accurate and complete.
06
Submit the completed form online, by mail, or in person to the appropriate department.
Who needs NH DFA Form 778?
01
Individuals or families seeking assistance with financial aid, welfare benefits, or food assistance in New Hampshire.
02
New residents in New Hampshire who need to establish eligibility for state assistance programs.
03
Those experiencing financial hardship who need to apply for benefits through the state's Department of Health and Human Services.
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What is NH DFA Form 778?
NH DFA Form 778 is a form used in New Hampshire for reporting financial information related to assets and income, typically as part of a legal or administrative process.
Who is required to file NH DFA Form 778?
Individuals who are seeking financial assistance, participating in certain legal proceedings, or those who must disclose their financial status by law are required to file NH DFA Form 778.
How to fill out NH DFA Form 778?
To fill out NH DFA Form 778, individuals should gather all required financial documents, accurately complete each section of the form by providing detailed information about income, assets, expenses, and any other relevant financial data, and ensure it is signed and dated before submission.
What is the purpose of NH DFA Form 778?
The purpose of NH DFA Form 778 is to provide a comprehensive overview of an individual's financial situation to assist in the assessment of eligibility for various forms of assistance or to fulfill legal obligations.
What information must be reported on NH DFA Form 778?
NH DFA Form 778 requires reporting on personal identification information, detailed income sources, assets such as property and bank accounts, liabilities, and any other financial obligations or resources that may impact eligibility for assistance.
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