Fill and Sign United States Legal Forms

This Form is used for requesting a new EBT card in Rhode Island.

This Form is used for requesting adjustments to the Prospective Payment System in Kentucky. It provides instructions on how to complete the form and submit it.

This form is used for authorizing skilled tasks for home care attendants (HCA) in Ohio. It allows HCAs to perform specific skilled tasks while providing care at home.

This form is used for authorizing home care attendants in Ohio to administer medication to patients.

This form is used to request private duty nursing services in the state of Ohio.

This form is used for assessing the private duty nursing (PDN) services in the state of Ohio. It helps in determining the needs and eligibility of individuals for PDN care.

This form is used for submitting a medical claim review request in the state of Ohio. It provides instructions on how to complete and submit the form accurately.

This form is used for filing a complaint about a real estate agent or broker in Florida.

This Form is used for verifying eligibility for Medicaid in Ohio. It serves as a checklist for the required documents needed for the review process.

This Form is used for requesting approval for Ohio Health Plans Letter templates in Ohio.

This Form is used for applying for registration of item price exemption in Connecticut.

This document is a Certificate of Disposition specific to the state of Connecticut. It provides information regarding the legal status of a criminal case, including the charges, court dates, and final disposition.

This document is used for applying to become an elevator apprentice trainee in Connecticut.

This form is used to request an administrative hearing in Utah.

This document is a Spanish version of the H-28(F) Mortgage Loan Transaction Closing Disclosure form. It is used for providing closing details for a mortgage loan transaction in Spanish.

This form is used for determining income eligibility for the TB (Tuberculosis) Program in California.

This form is used for the Tuberculosis (TB) Program Property Worksheet for children in California.

This Form is used for the Tuberculosis (TB) Program Property Worksheet for Adults in California.

This document is used to notify the authorities about a change in address for residents of New York who speak Bengali.

You should complete this form if to report the death of a person to a funeral director.

This form is used for giving consent to transfer Medi-Cal benefits to Healthy Families in California. (Spanish)

This Form is used for obtaining consent to transition from Medi-Cal to Healthy Families program in California, but it is specifically in the Korean language.

This form is used for property screening questions in California in the case of Sneede v. Kizer.

This Form is used for enrolling pregnant women, infants, and children in federal poverty level (FPL) programs in California. It includes income disregards for different age groups, such as 200 percent for pregnant women and infants, 133 percent for children ages 1 through 5, and 100 percent for children ages 6 through 18.

This Form is used to determine the income eligibility for QMB/SLMB/QI Medicare beneficiaries in California who are either couples or applicants with an ineligible spouse, with or without child(ren).

This form is used for determining the percentage obligation for Medi-Cal special treatment programs in California.

This form is used for calculating property eligibility for QMB, SLMB, and QI programs for adults aged 18 and older or married individuals in California.

This form is used for applying for the Medi-Cal Property Assessment program in California.

This Form is used for allocating funds from an SSI or IHSS person in California.