DFA Form 756 PDF Details

The BFA Form 756, issued by the New Hampshire Department of Health and Human Services (NH DHHS) Bureau of Family Assistance, is an Employment Verification PDF that employers must complete to support an applicant's eligibility review for state assistance programs including SNAP, Medicaid, and TANF. Accuracy is a legal requirement. Incomplete or inaccurate responses can delay or interrupt a client's benefits.

Information Required on the Employment Verification Form

Employers completing this form must provide all of the following:

Who Completes BFA Form 756

Only the employer completes this employment verification form. The NH Bureau of Family Assistance mails the form directly to the employer on file after a client applies for or recertifies assistance. Employees must not alter or fill in any section. Employers should return the form within the timeframe specified in the BFA cover letter. Late returns can put the applicant's eligibility determination on hold.

Common Mistakes to Avoid

The most frequent errors on NH employment verification forms include reporting net wages instead of gross wages, leaving the average hours field blank, and missing the "Additional Information Requested" field when BFA staff have written a question there. Always respond to that field if it contains a question. A blank response to a BFA inquiry is treated as a failure to comply and may trigger a second request or an adverse action notice for the client.

Related New Hampshire DFA Forms

Other NH DHHS Bureau of Family Assistance forms commonly used alongside this employment verification include the DFA Form 768, the DFA Form 778, and the DFA 1239 Form. For a general employment verification format not tied to a specific state agency, see the Employment Verification Form template on FormsPal.

QuestionAnswer
Form NameDfa Form 756
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesnh dhhs form employment, dhhs form 756, nh dhhs form, bfa form 756

How to Edit Dfa Form 756 Online for Free

BFA Form 756 can be filled out online using FormsPal's free PDF editing tool. The steps below walk employers through completing every section of this NH employment verification form accurately before returning it to the Bureau of Family Assistance.

Steps to Fill Out BFA Form 756 Online

Step 1: Click the orange "Get Form" button at the top of this page. This opens the FormsPal PDF editor with the form preloaded and ready to complete.

Step 2: Once the editor opens, you will see the form with all input fields available. You can type in each field, add your signature, insert dates, and make other adjustments before saving.

How one can prepare nh 756 form part 1

Step 3: Complete the employer and termination sections with care. Fields in this section include: Reason for Termination, Actual Date Final Paycheck Received, Gross Amount of Final Paycheck, any additional income received by the employee (severance pay, tips, bonuses), medical insurance and COBRA end date details, EITC information, average hours per week, and the Additional Information Requested field if BFA staff included a question.

Completing part 2 of nh 756 form

Pay close attention to all dates entered, especially the End Date and the final paycheck date. Date errors are among the most common mistakes on employment verification forms and can cause BFA to send a follow-up request.

Step 4: Click "Done" once you have reviewed the form for completeness and accuracy. Download or print the finished PDF directly from your FormsPal account. New users receive a free 7-day trial, and all changes are stored securely in the account.

Tips for Accurate Completion

  • Always report gross wages before any deductions are removed
  • Use the actual average hours worked per week, not a contracted or estimated figure
  • List all pre-tax deductions: health insurance, retirement contributions, and child support
  • Respond to the "Additional Information Requested" field whenever BFA staff have written a question there
  • Return the form within the deadline noted on the BFA cover letter to avoid delays in the client's case

Frequently Asked Questions About BFA Form 756

Can an employee fill out this form?

No. The employment verification form must be completed exclusively by the employer. Employees should not alter or complete any part of the form.

Where do I submit the completed form?

Return the form to the address or fax number printed on the BFA cover letter that arrived with it. Do not send it to a general NH DHHS address. Related forms from New Hampshire DFA include the DFA SNAP 2 Form and the DFA Form 768.

What happens if I return the form late?

A late return can place the applicant's benefits case on hold until the employer responds. NH DHHS processes assistance applications on a rolling deadline, and a missing employment verification PDF can delay the entire eligibility determination.