The Indiana Telephone Prescreen Form is a vital document used in the state of Indiana to determine an individual's eligibility for various assistance programs and benefits. This form is designed to collect relevant information about an individual's household income, expenses, and other factors that may affect their eligibility. The Indiana Telephone Prescreen Form is primarily used to assess an individual's eligibility for the Lifeline Assistance Program, which provides discounted phone services to low-income households. This form helps administrators determine whether an applicant meets the income thresholds established by the program. It is important to note that there are different types of Indiana Telephone Prescreen Forms, each tailored to assess eligibility for specific programs and benefits. Some of these forms include: 1. Lifeline Assistance Program Telephone Prescreen Form: This form focuses specifically on determining eligibility for the Lifeline Assistance Program, which offers discounted phone services to qualifying low-income individuals and households. 2. Indiana Medicaid Telephone Prescreen Form: This form is designed to determine an individual's eligibility for Medicaid, a federal and state-funded healthcare program. It collects information about an individual's income, household size, assets, and other relevant details to assess their eligibility. 3. Supplemental Nutrition Assistance Program (SNAP) Telephone Prescreen Form: This form is used to determine eligibility for SNAP benefits, commonly known as food stamps. It collects information about an individual's income, expenses, household size, and other factors that contribute to their eligibility for food assistance. 4. Low-Income Home Energy Assistance Program (LIH EAP) Telephone Prescreen Form: This specific form assesses an individual's eligibility for LIH EAP, a program that helps low-income households with their energy bills. It collects information about an individual's income, household size, and energy expenses to determine eligibility for energy assistance. All Indiana Telephone Prescreen Forms are essential tools in evaluating an individual's eligibility for crucial assistance programs and benefits. By filling out these forms accurately and thoroughly, individuals can provide administrators with the necessary information to determine their eligibility and access the support they need.