Form HFS2379WA Statement of Hardship - Waiver of Penalty Period - Illinois

Form HFS2379WA Statement of Hardship - Waiver of Penalty Period - Illinois

What Is Form HFS2379WA?

This is a legal form that was released by the Illinois Department of Healthcare and Family Services - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form HFS2379WA?A: Form HFS2379WA is a statement of hardship used to request a waiver of penalty period in the state of Illinois.

Q: What is a penalty period?A: A penalty period is a period of time during which an individual might be disqualified from receiving certain benefits due to noncompliance.

Q: Who can use Form HFS2379WA?A: Form HFS2379WA can be used by individuals in Illinois who are facing a penalty period and wish to request a waiver based on hardship.

Q: What is the purpose of Form HFS2379WA?A: The purpose of Form HFS2379WA is to provide a documented statement of hardship to support a request for waiver of a penalty period in Illinois.

Q: What information is required on Form HFS2379WA?A: Form HFS2379WA requires personal information, details about the penalty period, reasons for requesting a waiver, and supporting documentation of hardship.

Q: What should I do with Form HFS2379WA once completed?A: Once completed, Form HFS2379WA should be submitted to the appropriate HFS office for review and consideration.

Q: How long does it take to process a waiver request using Form HFS2379WA?A: The processing time for a waiver request using Form HFS2379WA may vary, but it is advisable to submit the form as early as possible to allow for timely review.

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Form Details:

  • Released on July 1, 2013;
  • The latest edition provided by the Illinois Department of Healthcare and Family Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form HFS2379WA by clicking the link below or browse more documents and templates provided by the Illinois Department of Healthcare and Family Services.

Download Form HFS2379WA Statement of Hardship - Waiver of Penalty Period - Illinois

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