Get Ar Dco-234 2016-2025

The AR DCO-234 form is a change report submitted to the Arkansas Department of Human Services. This guide provides step-by-step instructions on how to complete the form online, ensuring that you accurately report any changes in your circumstances.

Follow the steps to fill out the AR DCO-234 online effectively.

1. Click the 'Get Form' button to obtain the AR DCO-234 form and open it in the online editor.
2. In the first section, enter your full name and date of birth. Make sure that you provide your Budget Unit ID Number and Medicaid ID Number correctly in their respective fields.
3. Indicate the types of assistance you receive by checking the appropriate boxes for TEA, Medicaid, or SNAP. Then, provide your current address.
4. Specify if your address is new by selecting 'YES' or 'NO'. Provide your phone number and email address in the designated fields.
5. Move on to Section 1 to report any changes in income. Fill out details for new income or any income that has stopped, including names and dates. Remember to provide the required proof of changes.
6. In Section 2, report any increases in savings. State the current amount of liquid resources held by you or your household.
7. In Section 3, if you purchased or acquired a new vehicle, enter the make, model, year, and value. Indicate if it is licensed.
8. Use Section 4 to update any changes in household composition. Include details about any household members who have moved in or out.
9. Complete the additional sections based on your specific needs, such as changes in residence, dependent care costs, medical expenses, or child support.
10. After filling out all relevant sections, review your entries for accuracy. Once confirmed, save your changes. You can download, print, or share your submitted form as needed.

Complete your AR DCO-234 online today to ensure your information is up to date.