Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 472 - THE DISABLED PERSONS AND FAMILY SUPPORT PROGRAM
Chapter 2 - APPLICATION AND ELIGIBILITY
Section 472-2-002 - Application Process
Current through September 17, 2024
002.01 Request
Any individual may request an application for himself/ herself or as representative for another person. All applications will be provided through Central Office and may be requested directly from Central Office or through a local office of the Department of Social Services.
002.02 Local Office Activities
Local offices shall accept all requests for DPF Support applications and forward to the Department's Central Office staff.
Local office staff shall assist potential clients to complete the application, as requested.
002.03 Central Office Responsibilities
Central Office staff shall -
002.04 Application Form DPF-3
Form DPF-3, "Service and Device Application (multi-agency form)," contains the information used by Department staff to determine program eligibility. The application requires general information, medical information, income information and verification, verification of need, and evaluations from other support programs. The applicant shall ensure that the completed application includes all necessary information.
002.05 Citizenship/Legal Presence
To be eligible for the Disabled Persons and Family Support (DPFS) Program, an applicant shall be a citizen of the United States of America or a qualified alien under the federal Immigration and Nationality Act and be lawfully present in the United States, as required by Neb. Rev. Stat. § 4-108 to 4-112.