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NH Department of Health and Human Services (HHS) Division of Family Assistance (DFA) DFA Form 821 4/15 APPLICATION FOR MEDICAID PRESUMPTIVE ELIGIBILITY (PE) Medicaid eligibility determined via this
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How to fill out dfa form 821
How to fill out DFA Form 821:
01
Obtain a copy of DFA Form 821 from the official website of the Department of Foreign Affairs.
02
Carefully read the instructions provided on the form to understand the requirements and necessary documents.
03
Fill in your personal information such as your full name, date of birth, nationality, and contact details in the designated fields.
04
Provide details about your proposed travel plans, including the purpose of your trip, intended duration of stay, and destination country.
05
If applicable, provide information about your previous travel history, including any previous visas obtained.
06
Answer the questions regarding your criminal record, health condition, and any previous visa refusals.
07
Attach all the required supporting documents as indicated on the form, such as a valid passport, passport-sized photos, proof of financial capability, and invitation letters, if applicable.
08
Review all the information provided in the form to ensure its accuracy and completeness.
09
Sign and date the form in the designated spaces.
10
Submit the completed form along with the required documents to the appropriate DFA office or embassy.
Who needs DFA Form 821:
01
Individuals who are planning to travel to a foreign country and require a visa to enter often need to fill out DFA Form 821.
02
The form is typically required for various types of visas, such as tourist visas, business visas, student visas, or work visas.
03
It is essential for anyone seeking to obtain a visa to carefully fill out and submit DFA Form 821 to ensure a smooth visa application process.
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What is dfa form 821?
DFA Form 821 is a form used for reporting financial information.
Who is required to file dfa form 821?
Any individual or entity that meets the criteria set by the regulatory body.
How to fill out dfa form 821?
DFA Form 821 can be filled out manually or electronically, following the instructions provided by the regulatory body.
What is the purpose of dfa form 821?
The purpose of dfa form 821 is to ensure transparency and accountability in financial reporting.
What information must be reported on dfa form 821?
Information such as income, expenses, assets, and liabilities must be reported on dfa form 821.
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