To find out if you qualify for Medicaid, call or visit your local Office of Public Assistance. Download Application for Public Assistance; Download Application for Public Assistance (Spanish version)
www.dphhs.mt.gov/programsservices/publicassistanceprogr... www.dphhs.mt.gov/programsservices/publicassistanceprograms.shtml
Application for Public Assistance Word (English version) ... You may wish to apply for Public Assistance by downloading the application. You will need to print the application and submit the completed and signed form to your local Office of Public Assistance. Click below to download the application.
www.dphhs.mt.gov/publicassistance/index.shtml www.dphhs.mt.gov/publicassistance/index.shtml
Request for Assistance Application ... **Once you have printed and completed your application for assistance, you can mail the application to any DHHS office. However, if you wish to send the application to the office that services your area, please click on the link "Offices" on the left hand side of the web page.
www.maine.gov/dhhs/OIAS/public-assistance/ www.maine.gov/dhhs/OIAS/public-assistance/
Application for Cash Assistance, Food Stamps and Medical Assistance Benefits ... Cash Assistance Application (PDF download; or apply online using COMPASS) ... Pennsylvania Department of Public Welfare...
www.dpw.state.pa.us/PubsFormsReports/FormsApplications/ www.dpw.state.pa.us/PubsFormsReports/FormsApplications/
Application for Cash Assistance, Food Stamps and Medical Assistance Benefits ... 10/19/2009 - Department of Public Welfare Earns Recognition as National Leader in Child Support Enforcement...
www.dpw.state.pa.us/
FEMA's Public Assistance program was approved for 34 Missouri counties and the City of St. Louis in response to the January winter storms. ... The original deadline for entities in these jurisdictions to apply for Public Assistance was February 14, 2007. The extended deadline is March 1, 2007.
www.fema.gov/news/newsrelease.fema?id=34097
The objective of the Federal Emergency Management Agency's (FEMA) Public Assistance (PA) Grant Program is to provide assistance to State, Tribal and local governments, and certain types of Private Nonprofit organizations so that communities ... Application Process - Step by step description of the PA grant life cycle...
www.fema.gov/government/grant/pa/index.shtm
This application is to help us collect information needed to determine whether you are eligible for public assistance programs. The information contained in this application will help determine your eligibility and benefit amount.
www.cdhs.state.co.us/cbms/pdfs/spa2a-singlepurposeappli... www.cdhs.state.co.us/cbms/pdfs/spa2a-singlepurposeapplication.pdf
This pre-Screening tool is not an application for Food Assistance, nor does it guarantee eligibility. To get started, our office must receive a completed application.; ... Application; Application for Assistance (English, pdf)
www.co.jefferson.co.us/commassist/commassist_T180_R24.h... www.co.jefferson.co.us/commassist/commassist_T180_R24.htm
APPLICATION FOR CHILD SUPPORT SERVICES; NON-PUBLIC ASSISTANCE APPLICANT; IMPORTANT: If you are receiving ADC or Medicaid, do not complete this application, because you became eligible for child support services when you became eligible to receive ADC or Medicaid.
www.odjfs.state.oh.us/forms/file.asp?id=42701