The Nevada Telephone Prescreen Form is a document used by the Nevada Department of Health and Human Services to determine eligibility for the Lifeline Assistance Program. This program aims to provide affordable phone service to low-income individuals and families in Nevada. The form collects necessary personal information and financial details to evaluate an applicant's eligibility for the program. The Nevada Telephone Prescreen Form comprises several sections, including personal details such as name, address, phone number, and social security number. It also requires applicants to provide information regarding their household income, including wages, public assistance, retirement benefits, and any other sources of income. Additionally, the form may require details on the number of household members, their relationship to the applicant, and whether they receive any public assistance benefits like Medicaid or SNAP. The purpose of the Nevada Telephone Prescreen Form is to enable the Department of Health and Human Services to determine if an individual meets the income criteria necessary to qualify for the Lifeline Assistance Program. The form helps establish eligibility by verifying income and household information. Different types of Nevada Telephone Prescreen Forms may include specific versions tailored for different subsets of applicants. For example, there might be separate forms for individuals, families, seniors, or individuals with disabilities. These variations allow the Department to collect specific information relevant to each applicant category, streamlining the prescreening process. In summary, the Nevada Telephone Prescreen Form is an essential document used to assess eligibility for the Lifeline Assistance Program in Nevada. By collecting personal and financial information, the form helps determine an applicant's qualification for affordable phone service.