SNAP, Health Care, and TEA-RCA Application Form
Title | Type | Posted Date |
---|---|---|
Application for SNAP, Health Care, and TEA-RCA (multi-program application) – English | 09/01/2022 | |
Application for SNAP, Health Care, and TEA-RCA (multi-program application) – Spanish | 09/01/2022 | |
Application for SNAP, Health Care, and TEA-RCA (multi-program application) – Marshallese | 12/03/2020 |
Health Care Forms & Documents
Title | Type | Posted Date |
---|---|---|
Form 1095-B: Health Coverage | LINK | 01/12/2021 |
Medicare Savings Application | 09/30/2022 | |
Medicare Savings Application – Spanish | 09/30/2022 | |
Medicaid Change Report | ||
Quick Reference Medicaid Chart 2023 | 04/01/2023 | |
Income Trust Form | 07/01/2022 | |
Income Trust Fact Sheet | 07/01/2022 | |
Your Guide To Medicaid Estate Recovery In Arkansas | 01/30/2018 |
SNAP Forms & Documents
Transitional Employment Assistance / Refugee Cash Assistance Forms & Documents
Title | Type | Posted Date |
---|---|---|
Transitional Employment Assistance / Refugee Cash Assistance Forms & Documents | ||
TEA Change Report | ||
TEA Application | 12/2020 | |
TEA Quick Reference Guide 2023 | 1/2023 |
Community Services Grants Programs Forms & Documents
Title | Type | Posted Date |
---|---|---|
Community Services Grants Programs Forms & Documents | ||
Arkansas Community Action Agencies 2020 | 09/21/2020 | |
Emergency Solutions Grant COVID-19 Subgrantee Contact List | 10/13/2020 | |
Emergency Solution Grant Subgrantee Contact List | 09/21/2020 |