109 APPLICATION PROCESS SR 98-51, 12/98 (AAM-A)

Any individual has the right to apply for assistance and to have an eligibility decision made. Individuals have the right to file an application on the same day they contact the District Office. Advise individuals that they may file the application before an interview is conducted.

Application at the District Office for all programs is made on Form 800H, HEIGHTS Application Form, generated at the conclusion of the Client Registration (CR) process. Form 800H contains an official Request for Assistance (RFA) and the official Filing Date of the application .

Exceptions:

• Form 800Q, Application for the Qualified Medicare Beneficiary (QMB) Program, is only used for New Hampshire Housing Authority (NHHA) residents to apply for QMB at their local NHHA.

• An individual may request and receive paper Form 800, Application, by contacting any District Office. If the individual contacts the District Office by telephone or mail, and does not want to come to the office to file an application on the same day, mail a Form 800 on the same day the request is received.

• Individuals applying for assistance at hospitals may complete and submit paper Form 800, Application.

Following CR, most applicants are required to participate in a detailed interactive Application Entry (AE) eligibility interview with a Case Technician.