IA 470-3948 2022-2026 free printable template
Show details
Iowa Department of Human ServicesDesignation of Personal Representative
Name of Clientele of RequestMailing Address Street or P.O. Nonsocial Security Number, Patient Number, or State City, State,
pdfFiller is not affiliated with any government organization
Get, Create, Make and Sign IA 470-3948
Edit your IA 470-3948 form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share your form instantly
Email, fax, or share your IA 470-3948 form via URL. You can also download, print, or export forms to your preferred cloud storage service.
How to edit IA 470-3948 online
Use the instructions below to start using our professional PDF editor:
1
Register the account. Begin by clicking Start Free Trial and create a profile if you are a new user.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit IA 470-3948. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Save your file. Select it from your records list. Then, click the right toolbar and select one of the various exporting options: save in numerous formats, download as PDF, email, or cloud.
With pdfFiller, it's always easy to deal with documents. Try it right now
Uncompromising security for your PDF editing and eSignature needs
Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
IA 470-3948 Form Versions
Version
Form Popularity
Fillable & printabley
How to fill out IA 470-3948
How to fill out IA 470-3948
01
Gather all necessary personal information such as name, address, and contact details.
02
Identify the specific purpose of the IA 470-3948 and any required documents.
03
Fill in each section of the form, ensuring all information is accurate and complete.
04
Review the filled-out form for any errors or omissions.
05
Sign and date the form where required.
06
Submit the completed IA 470-3948 to the designated recipient or office.
Who needs IA 470-3948?
01
Individuals applying for specific government services or programs that require the IA 470-3948 form.
02
Organizations that assist clients in applying for benefits or services related to the form.
Fill
form
: Try Risk Free
People Also Ask about
How do I contact Iowa DHS SNAP?
Customer Service Call Centers: Report changes to your Supplemental Nutrition Assistance Program (SNAP), Cash Assistance or Medicaid Case at 1-877-347-5678.
What is the level of care certification for facility in Iowa?
Purpose Form 470-4393, Level of Care Certification for Facility, provides a mechanism for a medical professional (MD/DO/ARNP/PA-C) to report level of care needs for a Medicaid member's admission or change in condition for level of care. Source This form is available on the DHS website under Provider Forms.
What is the 800 number for DHS in 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.
What is the authorized representative form for Medicaid in Iowa?
Clients may use Form 470-3948 when there is a need to designate a personal representative. A "personal representative" is someone designated by another as standing in the other's place or representing the other's interest for one or more purposes. Record of Disclosure of Health Information, Form 470-4015.
What is the number for food stamps in Iowa?
You can report any changes to your SNAP case by calling 877-347-5678.
How do I update my address with Iowa Medicaid?
Agency: Iowa Department of Health and Human Services Changes included could be income, address, rent/utility payments, household members, etc. Call 1-877-347-5678 or Fax 515-564-4041.
For pdfFiller’s FAQs
Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.
How can I send IA 470-3948 for eSignature?
Once your IA 470-3948 is ready, you can securely share it with recipients and collect eSignatures in a few clicks with pdfFiller. You can send a PDF by email, text message, fax, USPS mail, or notarize it online - right from your account. Create an account now and try it yourself.
How can I fill out IA 470-3948 on an iOS device?
Get and install the pdfFiller application for iOS. Next, open the app and log in or create an account to get access to all of the solution’s editing features. To open your IA 470-3948, upload it from your device or cloud storage, or enter the document URL. After you complete all of the required fields within the document and eSign it (if that is needed), you can save it or share it with others.
How do I edit IA 470-3948 on an Android device?
You can. With the pdfFiller Android app, you can edit, sign, and distribute IA 470-3948 from anywhere with an internet connection. Take use of the app's mobile capabilities.
What is IA 470-3948?
IA 470-3948 is a form used by taxpayers in Iowa to report specific information to the Iowa Department of Revenue.
Who is required to file IA 470-3948?
Individuals or entities that meet certain criteria related to income or tax activity in Iowa may be required to file IA 470-3948.
How to fill out IA 470-3948?
To fill out IA 470-3948, provide all required personal and financial information, including income details and any relevant deductions, as specified in the form instructions.
What is the purpose of IA 470-3948?
The purpose of IA 470-3948 is to ensure proper reporting of income and to determine tax liabilities for eligible individuals or entities in Iowa.
What information must be reported on IA 470-3948?
Information that must be reported on IA 470-3948 includes taxpayer identification details, income sources, deductions, and any other relevant financial information as outlined in the form's guidelines.
Fill out your IA 470-3948 online with pdfFiller!
pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.
IA 470-3948 is not the form you're looking for?Search for another form here.
Relevant keywords
Related Forms
If you believe that this page should be taken down, please follow our DMCA take down process
here
.
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.
