Find court forms, sample letters, tool kits and and state and federal government benefits applications.
There are 12 resources
Health Care for People with Disabilities
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
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.
Snapshot of Social Security
(Separate Website)
This publication provides a snapshot of the most important features of the Social Security, Supplemental Security Income (SSI) and Medicare programs. You can find specific information about these programs, including our publications, by visitingwww.socialsecurity.gov on the Internet.
By: Social Security Administration
Read this in:
Chinese / 中文
Social Security Forms
(Separate Website)
This web site contains a large number of forms available in PDF format, including, but not limited to: (1) Benefit Claims Forms, (2) Benefit Claims Supporting Forms, (3) Direct Deposit Forms, (4) Certain Internal Revenue Service Forms. The web site also allows you to apply on line for certain benefits and services.
By: Social Security Administration
Application for a Social Security Card
(Separate Website)
USE THIS APPLICATION TO APPLY FOR: ? An original Social Security card ? A duplicate Social Security card (same name and number) ? A corrected Social Security card (name change and same number) ?A change of information on your record other than your name (no card needed)
By: Social Security Administration
Read this in:
Chinese / 中文
,
Vietnamese / Tiếng Việt
Magistrate Court Forms
(Separate Website)
These forms have been developed by the Uniform Forms Committee of the Council of Magistrate Court Judges. They are not mandatory forms for filings in the Magistrate Courts. All Magistrate Courts in Georgia are encouraged to accept pleadings filed using these forms.
By: Council of Magistrate Court Judges
Long Term Care: Assisted Living, Nursing Homes, Home Health Aides
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
Limited Financial Power of Attorney for QIT
(Separate Website)
This Limited Financial Power of Attorney for QIT (or Miller Trust) form can be completed online. Click this link to go to a website where you can create a "Limited Financial Power of Attorney" that you can print, sign and have witnessed. The site will ask you a series of questions about your financial choices and then create a Limited Financial Power of Attorney based on YOUR ANSWERS. PLEASE NOTE: This is NOT a fill-in-the-blank form.
IMPORTANT: If you use Mozilla, you must select Word or Wordpad when the program assembles the document.
By: Atlanta Legal Aid Society
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
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
Snapshot of Social Security
(Separate Website)
This publication provides a snapshot of the most important features of the Social Security, Supplemental Security Income (SSI) and Medicare programs. You can find specific information about these programs, including our publications, by visitingwww.socialsecurity.gov on the Internet.
By: Social Security Administration
Read this in:
Chinese / 中文
Social Security Forms
(Separate Website)
This web site contains a large number of forms available in PDF format, including, but not limited to: (1) Benefit Claims Forms, (2) Benefit Claims Supporting Forms, (3) Direct Deposit Forms, (4) Certain Internal Revenue Service Forms. The web site also allows you to apply on line for certain benefits and services.
By: Social Security Administration
Application for a Social Security Card
(Separate Website)
USE THIS APPLICATION TO APPLY FOR: ? An original Social Security card ? A duplicate Social Security card (same name and number) ? A corrected Social Security card (name change and same number) ?A change of information on your record other than your name (no card needed)
By: Social Security Administration
Read this in:
Chinese / 中文
,
Vietnamese / Tiếng Việt
Magistrate Court Forms
(Separate Website)
These forms have been developed by the Uniform Forms Committee of the Council of Magistrate Court Judges. They are not mandatory forms for filings in the Magistrate Courts. All Magistrate Courts in Georgia are encouraged to accept pleadings filed using these forms.
By: Council of Magistrate Court Judges
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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Information Not Legal Advice
LegalAid-GA.org provides general information only. This is not legal advice and cannot replace legal advice. You can get legal advice only from a lawyer. Deadlines are extremely important in most legal matters. You may lose important legal rights if you do not hire an attorney immediately to advise you. Viewing this web site or sending an e-mail message through this web site does NOT create an attorney-client relationship.
LegalAid-GA is a project of the Atlanta Legal Aid Society, the Georgia Legal Services Program and the Pro Bono Project of the State Bar of Georgia. This website was produced with funding from the Legal Services Corporation.
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Intake Workers
Word File
(Separate Website)
