Find court forms, sample letters, tool kits and and state and federal government benefits applications.
There are 6 resources
Advance Directive for Health Care This new Advance Directive for Health Care form replaces the former Living Will and the former Durable Power of Attorney for Health Care.
By: Georgia Department of Human Resources, Division of Aging Services
Ask for a Fair Hearing for Medicaid Benefits
You can ask for a fair hearing (an appeal) if:
• You have been denied Medicaid
• Your Medicaid benefits have been cut
• Your Medicaid benefits have changed.
If you want a fair hearing, call your county Department of Family and Children’s Services today. Then fill out this form. Bring it or mail it to your county Department of Family and Children Services.
By: Georgia Legal Services Program
Other Formats:
Word File
Georgia Medicare Savings Program Applications
(Separate Website)
This site will allow you to apply online for the type of Medicaid that provides partial financial assistance with Medicare premiums, deductibles and co-payments to certain low income Medicare beneficiaries.
By: US Department of Health and Human Services
Georgia Medicare Savings Program Applications
(Separate Website)
This site will allow you to apply online for the type of Medicaid that provides partial financial assistance with Medicare premiums, deductibles and co-payments to certain low income Medicare beneficiaries.
By: US Department of Health and Human Services
OSAH Form 1 - DFCS Request for Fair Hearing with Office of State Administrative Hearings
(Separate Website)
When you have been denied Medicaid or had your Medicaid Benefits lowered or terminated, you can ask for a fair hearing. You can fill out a fair hearing request letter and mail it or deliver it to your local Division of Family and Children Services (DFCS) office to begin the process. When DFCS gets your letter asking for a fair hearing, they use this form to process your appeal with the Office of State Administrative Hearings (OSAH). You can give DFCS this form and ask them to fill it out and send it to OSAH and to the Department of Human Resources Legal Services to process your appeal.
By: Georgia Department of Human Resources
Other Formats:
Word File
TANF/Food Stamps/Medicaid Application
(Separate Website)
This is an interactive program to assist people in completing the initial application for TANF, Food Stamps and Medicaid. You must user INTERNET EXPLORER to access this program. The initial application is the first step in the application process. This program will take you to another website where you will register, login and then complete an interview. After you have completed the interview, you will be able to print the completed application.
Adobe Acrobat Reader required. (If you are using a screen reader that does not support PDF format, copy the PDF link, and use the Access Adobe online form to convert this file to HMTL text.)
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