Form 822 Notice of Presumptive Eligibility (Pe) - New Hampshire

Form 822 Notice of Presumptive Eligibility (Pe) - New Hampshire

What Is DFA Form 822?

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

FAQ

Q: What is DFA Form 822?
A: DFA Form 822 is the Notice of Presumptive Eligibility (PE).

Q: What is Presumptive Eligibility?
A: Presumptive Eligibility (PE) is a temporary eligibility that allows individuals to receive benefits while their full eligibility is being determined.

Q: Who is eligible for Presumptive Eligibility?
A: Certain groups, such as pregnant women, may be eligible for Presumptive Eligibility.

Q: What is the purpose of DFA Form 822?
A: The purpose of DFA Form 822 is to notify individuals of their Presumptive Eligibility status.

Q: What is the significance of Presumptive Eligibility?
A: Presumptive Eligibility provides immediate access to benefits and services while the full eligibility determination process is being completed.

Q: How long does Presumptive Eligibility last?
A: Presumptive Eligibility lasts until a determination is made on the individual's full eligibility.

Q: What should individuals do after receiving DFA Form 822?
A: Individuals should complete the necessary application and provide any required documentation to determine their full eligibility.

Q: What benefits does Presumptive Eligibility provide?
A: Presumptive Eligibility provides access to certain healthcare services and benefits.

Q: Can Presumptive Eligibility be extended?
A: Presumptive Eligibility cannot be extended, but individuals can apply for other eligible programs to continue receiving benefits.

ADVERTISEMENT

Form Details:

  • Released on April 1, 2017;
  • The latest edition provided by the New Hampshire Department of Health and Human Services - Division of Family Assistance;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of DFA Form 822 by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Health and Human Services - Division of Family Assistance.

Download Form 822 Notice of Presumptive Eligibility (Pe) - New Hampshire

4.6 of 5 (19 votes)
  • Form 822 Notice of Presumptive Eligibility (Pe) - New Hampshire

    1

  • Form 822 Notice of Presumptive Eligibility (Pe) - New Hampshire, Page 2

    2

  • Form 822 Notice of Presumptive Eligibility (Pe) - New Hampshire, Page 1
  • Form 822 Notice of Presumptive Eligibility (Pe) - New Hampshire, Page 2
Prev 1 2 Next
ADVERTISEMENT