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An overview of local and residential related services and information found in the State's networks of websites.
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All forms are in Adobe Acrobat (.pdf) unless otherwise stated.
- Estate & Trust Forms
- Guardianship Forms
- Name Change
About PDF Forms
PDF Forms: New Hampshire court forms are being presented on the Internet in Adobe's Portable Document Format (PDF). We are currently using Adobe Acrobat 11 Professional to create these forms and are saving to level Adobe Reader X. The Adobe format has been chosen because of its near universal adoption for providing electronic copies of forms where the content and presentation of the document requires consistency. That consistency is not reliably provided using standard web forms. A free viewer is available from Adobe, so this format imposes little financial burden on the user. It is located at http://www.adobe.com
Forms not available in Word: We have chosen not to provide forms in any word processing format because the ability to 'lockdown' the form into a standard look and feel is limited at best. The selection of which word processing solution to use to fill out the form can cause inconsistencies. Even the selection of which printer to use to print the form can lead to results that are inconsistent and impractical to process. Users of completed forms (court staff, judges, parties, etc.) expect to see specific content in consistent locations on the form. When that content shifts as a result of printer and word processor anomalies, then the value of standardized forms is diminished.
Filling out Forms: All of these forms can be printed as blank forms and filled in manually if required. All these forms can be saved to local electronic media in their blank state. Users are cautioned that when they pre-print a form for later use or save a copy of a form to local media, they need to make sure that the form has not changed since it was last printed or saved locally. It is the users responsibility to check the court's website for updated forms to avoid using obsolete and outdated forms.
Most NHJB forms are also capable of being completed electronically through Adobe Reader, using the TAB key to navigate the form from field to field and keying data into each field. With Adobe Reader OLDER than XI, you cannot save the completed (or partially completed) form to electronic media. If you are using Adobe Reader XI or NEWER you can complete (or partially complete) a form and save it. You can print the form with any version when complete. Forms that are not yet in a fillable format will be placed in that format in the future.
Accessibility: You can get information regarding the accessibility of Adobe Portable Document Format (PDF) files from Adobe.
Eligibility Requirements
To be eligible for APTD cash assistance, you must meet certain requirements. If you are eligible for cash assistance, you are also eligible for medical assistance.
General Requirements
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Citizenship Status/Immigration: You must be either a US citizen or a qualified alien.
Residency: You must live in New Hampshire, intend to remain in New Hampshire and not be getting cash assistance from another state.
Social Security Number: You must furnish a Social Security Number or proof of an application for a Social Security Number.
Living Arrangement: You must describe your living situation to us. We need to know if you are living in your own home or apartment, or if you are living with others in a type of group home, such as family care or in an assisted living facility. The income limits are different for different kinds of situations.
Potential Income: You must explore and apply for all potential kinds of income to which you may be entitled. For example, if you are potentially eligible for any of the following, you must apply for them:
- Social Security Benefits (including SSI)
- Retirement Benefits or Pensions
- Unemployment or Worker's Compensation
- Third Party Medical Coverage
- VA Benefits (including Aid and Attendance)
- Disability Benefits or Pensions
- Contributions from any Liable Third Party
Medical Eligibility
For you to be eligible for APTD, you must have a medical condition that stops you from working and that is expected to last for at least 48 months or result in death. We will use information that you give us to decide whether you are disabled.
Financial Eligibility
Financial eligibility is broken into two parts; income and resources. You are considered financially eligible for the APTD program if you meet both income and resource requirements.
Income: Most kinds of income you receive, are counted when we determine your eligibility for APTD. We also count your spouse's income if you live with your spouse. Some examples of counted income are:
- Wages
- Self-employment income
- Rental income
- Social security benefits
- Veterans benefits
We subtract certain expenses from your income. If you work, we subtract certain employment expenses. We also subtract expenses such as court-ordered alimony and child support payments. If your total net income is no higher than the monthly net income limits for your living arrangement and the program for which you are applying, you are considered income eligible.
Resources: All resources that you and your spouse own are counted to determine eligibility. Example of resources are:
- Cash
- Bank and credit union accounts
- Stocks and bonds
- Some life insurance
- Permanently unoccupied real estate
- Some trusts
We do not count certain resources, such as the home you are living in, vehicles or burial plots for yourself. If, after counting your resources, your total countable resources are no higher than $1,500, you are considered resource eligible.
What Happens Now?
If you meet the requirements above and think your income and resources are close to the figures provided and you would like to apply for the APTD program, you should:
- Visit a DHHS District Office and speak with a DHHS worker who will help you through the application interview process; and
- Give copies of any information that we may need.
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Changes
You must tell us of any changes that might affect your eligibility. This includes changes of address and any changes in your income and resources such as earnings, Social Security benefits or money from insurance settlements. You must report these changes within 10 days after they happen. You will receive advance notice of any decreases, increases or termination of your grant.
Overpayments
If you are paid more money than you should have received, you may have to pay back the amount of money that you should not have received.
Please Note: NH State law requires DHHS to seek reimbursement from the estates of OAA, ANB, and APTD cash recipients for all cash assistance provided. During an eligibility interview, applicants will be informed of this responsibility.
Right to an Administrative Appeal Hearing
If you disagree with any decision the Division of Family Assistance makes on your case, you may request an Administrative Appeals Hearing.
Related Programs
If you are eligible for one of the State Supplement Programs, you may qualify for the following services: