IA DHS 470-2881 2016 free printable template

Iowa Department of Human Services Iowa Department of Human Services Review/Recertification Eligibility Document Case Number County Number Worker Name Please follow the instructions of the checked

How to fill out IA DHS 470-2881

How to fill out IA DHS 470-2881

1. Obtain the IA DHS 470-2881 form from your local Department of Human Services office or download it from the official website.
2. Carefully read the instructions provided on the form to understand the required information.
3. Fill in your personal details such as name, address, and contact information in the designated areas.
4. Provide information about your household composition, including the names and relationships of all members living with you.
5. Specify your income details by recording all sources of income for each household member.
6. Include information about your expenses, such as rent, utilities, and any other relevant financial obligations.
7. Review the form for accuracy, ensuring all fields are completed and nothing is omitted.
8. Sign and date the form at the designated area to certify that the information provided is true and complete.
9. Submit the completed form to your local DHS office either in person or via mail.

Who needs IA DHS 470-2881?

1. Individuals or families seeking assistance with food benefits or other social services provided by the Iowa Department of Human Services.
2. Those who are applying for the Supplemental Nutrition Assistance Program (SNAP) or other state assistance programs.
3. Anyone experiencing financial hardship and needing to report changes in their income or household situation.

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 (DHS) to gather information for assistance programs.

Who is required to file IA DHS 470-2881?

Individuals applying for or receiving certain assistance programs from the Iowa DHS are required to file IA DHS 470-2881.

How to fill out IA DHS 470-2881?

To fill out IA DHS 470-2881, provide accurate personal information, financial details, and relevant documentation as specified on the form.

What is the purpose of IA DHS 470-2881?

The purpose of IA DHS 470-2881 is to determine eligibility for various assistance programs offered by the Iowa DHS.

What information must be reported on IA DHS 470-2881?

The information that must be reported on IA DHS 470-2881 includes personal identification details, income, household composition, and other relevant data related to eligibility.