IA 470-5168 2015 free printable template
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Write in any new information. Name/State ID or CIN Birth Date 470-5168 Rev. 12/15 H5168A Social Security Number Relationship to You Page 1 Gender Male/Female Resident of Iowa U.S. Citizen Yes/No Eligible Immigration Status If yes list document type and ID number. Iowa Department of Human Services Medicaid/hawk-i Review USE ONLY BLUE OR BLACK INK. IOWA DEPT. OF HUMAN SERVICES Due Date Case Number County Number Email Address Phone Number Contact Preference Worker Name It s time to review your...
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People Also Ask about
How can I check the status of my food stamp case 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.
What is the new name for the DHS in Iowa?
Iowa Department of Human Services. Provides assistance programs, family services, health care, mental health and disability services for Iowa children and families. The Iowa Department of Human Services makes a positive difference to help Iowans achieve healthy, safe, stable, and self-sufficient lives.
How do I contact DHS Iowa?
The Iowa Board of Social Welfare was founded in 1937 by the Iowa General Assembly. In 1967, it was merged with the Iowa Board of Control and Iowa Board of Parole to form the Iowa Department of Social Services. It was renamed the Iowa Department of Human Services in 1987.
What is the phone number for Medicaid DHS in Iowa?
Call and request from: DHS Contact Center – 1-855-889-7985.
What does Iowa Department of Health and Human Services do?
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.
How do I check my SNAP application 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.
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What is IA 470-5168?
IA 470-5168 is a form used by certain individuals and entities in Iowa to report specific information for tax purposes.
Who is required to file IA 470-5168?
Individuals or businesses that have particular tax obligations in Iowa are required to file IA 470-5168.
How to fill out IA 470-5168?
To fill out IA 470-5168, you need to follow the instructions provided, including entering personal or business information, financial data, and ensuring to sign and date the form.
What is the purpose of IA 470-5168?
The purpose of IA 470-5168 is to provide the Iowa Department of Revenue with necessary information for tax assessment and compliance.
What information must be reported on IA 470-5168?
Information that must be reported on IA 470-5168 includes personal identification details, income, deductions, and any applicable tax credits or liabilities.
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