Public Assistance Applications**

• Food Supplement Program, TANF, PaS, or MaineCare
  • Application for Food Supplement benefits, TANF, PaS or MaineCare
• General Application
  • General Application for MaineCare & Food Supplement benefits (Microsoft Word* Also in Adobe PDF* )
  • Documents you might need for General Application interview
• MaineCare for Children and Pregnant Women (Microsoft Word* Also in Adobe PDF*)
• Long-term Care
  • Documents you might need for Long-Term Care
  • Application For Financial Assistance For Facility Costs (Microsoft Word* Also in Adobe PDF*)
• Private Health Insurance Premium (PHIP) Benefit
  • Application for PHIP (Microsoft Word* Also in Adobe PDF*)
  • Frequently Asked Questions (FAQ) for PHIP (Microsoft Word* Also in Adobe PDF*)
  • Brochure (Adobe PDF*)
• Request for Assistance
  • Request for Assistance Application (Microsoft Word* Also in 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.