IA DHS 470-2881 2017 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
How to fill out IA DHS 470-2881
01
Obtain the IA DHS 470-2881 form from the official DHS website or local office.
02
Fill in the personal details section with your name, address, and contact information.
03
Provide information about your household members, including their names and relationships to you.
04
Disclose your financial information, including income sources and amounts for you and your household members.
05
Indicate your expenses, such as rent, utilities, and other monthly costs.
06
Review the application for accuracy and completeness.
07
Sign and date the form to certify that the information provided is true to the best of your knowledge.
08
Submit the completed form to your local DHS office either in person or by mail.
Who needs IA DHS 470-2881?
01
Individuals or families who are applying for assistance programs through the Iowa Department of Human Services.
02
Applicants seeking financial assistance, food assistance, or other related support services.
Instructions and Help about IA DHS 470-2881
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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 various information related to services or programs under their jurisdiction.
Who is required to file IA DHS 470-2881?
Individuals or organizations that are involved in services provided by the Iowa Department of Human Services 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 with the form, ensuring all relevant sections are completed accurately.
What is the purpose of IA DHS 470-2881?
The purpose of IA DHS 470-2881 is to collect necessary information to assist with the administration and evaluation of programs and services offered by the Iowa Department of Human Services.
What information must be reported on IA DHS 470-2881?
IA DHS 470-2881 requires reporting demographic information, service details, and any other data necessary for compliance with DHS regulations.
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