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How Do I Apply for Assistance?
The Division of Family Assistance offers online services through NH EASY Gateway to Services, New Hampshire's Electronic Application System. Learn how to apply for assistance, check eligibility, track your application status, and more by visiting the NH EASY Gateway to Services web page.

It's easy to apply!

  1. You can apply online at;
  2. You can apply by printing out one of the following Applications, completing it, and mailing it in to your local District Office. To find the District Office that serves your area, please see Catchment Areas Adobe Acrobat Reader Symbol

If you only want to apply for Medicaid or for other insurance affordability programs available through the Marketplace, use the Application for Health Coverage & Help Paying Costs (Form 800MA) Adobe Acrobat Reader Symbol
La solicitud de cobertura de salud y los costos de pago Ayuda (Spanish) Adobe Acrobat Reader Symbol
स्वास्थ्य कवरेज र सहायता दिनु लागत लागि आवेदन
(Nepali) Adobe Acrobat Reader Symbol
You may also fax in your application for Medicaid to (603) 271-8604. Or you may call us at 1-800-852-3345, extension 9700 to apply for Medicaid over the phone.

If you would like to apply for all the types of assistance we offer, including cash, Food Stamps, child care assistance, and Medicaid, complete both of the following forms:

After completing an Application, you may also need to:

Information that every Applicant must know:

Information that every Food Stamp Applicant must know:

Information that every Financial Assistance to Needy Families (FANF) Applicant must know:

Information that every NH Child Care Scholarship Applicant must know:

Information that every Adult Program Applicant must know:

Information that every Nursing Home or Community Based Care (Long Term Care) Applicant must know:

Adobe Acrobat Reader Symbol Adobe Acrobat Reader format. You can download a free reader from Adobe.

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New Hampshire Department of Health and Human Services
129 Pleasant Street | Concord, NH | 03301-3852

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