Find court forms, sample letters, tool kits and and state and federal government benefits applications.
There are 8 resources
Advance Directive for Health Care This new Advance Directive for Health Care form replaces the former Living Will and the former Durable Power of Attorney for Health Care.
By: Georgia Department of Human Resources, Division of Aging Services
Advance Directive for Health Care
(Separate Website)
This Advance Directive for Health Care form can be completed online. Click this link to go to a website where you can create an "Advance Directive for Health Care" that you can print, sign and have witnessed. The site will ask you a series of questions about your health care choices and then create an Advance Directive for Health Care 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
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
Georgia Medicare Savings Program Applications
(Separate Website)
This site will allow you to apply online for the type of Medicaid that provides partial financial assistance with Medicare premiums, deductibles and co-payments to certain low income Medicare beneficiaries.
By: US Department of Health and Human Services
Georgia Medicare Savings Program Applications
(Separate Website)
This site will allow you to apply online for the type of Medicaid that provides partial financial assistance with Medicare premiums, deductibles and co-payments to certain low income Medicare beneficiaries.
By: US Department of Health and Human Services
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
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.
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.)
Copyright and Use Notice
This material is copyrighted by either Atlanta Legal Aid Society, Inc. ("Legal Aid") or Georgia Legal Services Program ("GLSP"). Legal information can change rapidly. Provided links are kept updated, permission is given to link to this material from a nonprofit, court or government website. Website material may be printed, copied and distributed only in its original format for non-commercial, informational purposes. The material may not be altered from its original format. Reproducing the material to promote a commercial purpose is expressly prohibited. Commercial enterprises are expressly forbidden from linking to our material or using our material in other ways. Legal Aid and GLSP are not liable for the distribution of out-of-date material or links. To inquire about appropriate use of this material, please contact 404-524-5811.
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.
Copyright and Use Notice
This material is copyrighted by the authoring organization or individual. Legal information can change rapidly. Provided links are kept updated, permission is given to link to this material from a nonprofit, court or government website. Website material may be printed, copied and distributed only in its original format for non-commercial, informational purposes. The material may not be altered from its original format. Reproducing the material to promote a commercial purpose is expressly prohibited. Commercial enterprises are expressly forbidden from linking to our material or using our material in other ways. Legal Aid and GLSP are not liable for the distribution of out-of-date material or links. To inquire about appropriate use of this material, please contact 404-524-5811.
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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