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Department of Health and Human Services
Office of Integrated Access and Support
(Formerly Bureau of Family Independence (BFI))

Public Assistance Applications**

Food Stamps, TANF, PaS, or MaineCare

     
Application for Food Stamps, TANF, PaS or MaineCare HTML   Adobe PDF*
 
General Application for MaineCare & Food Stamps   Microsoft Word* Adobe PDF*
Documents you might need for General Application interview HTML    
 
MaineCare for Children and Pregnant Women   Microsoft Word* Adobe PDF*
 

Long-term Care

Application for Long-term Care     Adobe PDF*
Documents you might need for Long-Term Care HTML    
 

Request for Assistance

Request for Assistance Application   Microsoft Word* Adobe PDF*

 

Important Information

**Once you have printed and completed your application for assistance, you can mail the application to any DHHS office. However, if you wish to send the application to the office that services your area, please click on the link "Offices" on the left hand side of the web page. This will provide you with the address of the office nearest you. You may also submit the application in person at any DHHS office.

 

 

* You will need Acrobat Reader to view a PDF page. If you do not have Acrobat Reader it can installed free by going to http://www.adobe.com/prodindex/acrobat/readstep.htm

* If you do not have Microsoft Office on your computer to view the following Office applications you will need to go to http://www.microsoft.com/office/000/viewers.asp for a free viewer.

* Hard copy is also available in printed format upon request: Contact Us