Below you'll find organizations that can help you apply, forms that can help you complete an application and report changes down the road, other helpful documents, and a video tutorial to help you apply online. Click here to learn about all benefits available from DCF.
Organizations That Can Help
If you have questions or need help applying, you can call our Benefits Service Center at 1-800-479-6151. In addition, you can also:
Forms To Help You Complete the Application Process
- Form 120 - 3SquaresVT & Long Term Care Medicaid Out-of-Pocket Medical Expenses
- Form 137 - Child & Medical Support Authorization/ Application for OCS Services
- Form 139AP - Alternate Payee Permission Form
- Form 139AR - Alternate Reporter Request
- Form 139REP - Authorized Representative Form
Forms To Help You Report Changes
- Form 200 - Change Report
- Form 202H - Shelter Expense Statement
- Form 204B - Business Income and Expenses Sole Proprietorship
- Form 216 - Student Self Declaration of Financial Aid and Expenses
- Form 218 - Income Verification
- Form 218E - Employment Information
- Form 218ET - End of Employment Verification
Other Helpful Documents
Video Tutorial for Those Applying Online
This video on YouTube guides you through the online application