Section 472-2-002 - Application Process002.01 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 -
1. Mail an application to each person requesting one;2. Answer questions to facilitate application;3. Evaluate each completed application to determine eligibility;4. Notify each applicant in writing when a decision is reached; and5. Maintain a waiting list of eligible applicants, as appropriate.6. Provide the opportunity for a fair hearing (see 472 nAc 4-004); and7. Provide information and referral to any applicant whose request for assistance under this program is denied.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.
1.Attestation: The applicant shall attest that s/he is a citizen of the United States of America or that s/he is a qualified alien under the federal Immigration and Nationality Act, 8 USC 1101 et seq., as such act existed on January 1, 2009; and is lawfully present in the United States. The applicant shall provide his/her immigration status and alien number, and agree to provide a copy of his/her United States Citizenship and Immigration Services (USCIS) documentation upon request.2.Verification: For any applicant who has attested that s/he is a qualified alien under 472 NAC 2-002.05, eligibility for benefits shall be verified through the Systematic Alien Verification For Entitlements Program. Until verification of eligibility is made, the attestation may be presumed to be proof of lawful presence unless the verification is required before providing the public benefit under another provision of state or federal law.472 Neb. Admin. Code, ch. 2, § 002