Apply for: Cash Assistance, Medical Assistance, Supplemental Nutrition Assistance Program (formerly Food Supplement Program) and Other.
Interview: You, a responsible family member or someone you choose to represent you must be interviewed.
Hearing: You have 90 days from the notice date to ask for a hearing.
Shelter costs: Complete only if you are applying for SNAP benefits.
Declaration inquiry: Complete if you are applying for Temporary Cash Assistance or SNAP benefits.
| Question | Answer |
|---|---|
| Form Name | DHS/FIA 9702 |
| Form Length | 16 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 48 min |
| Edition | Rev 4-2023 |
| Issuing agency | Maryland Department of Human Services Family Investment Administration |
| Matches the agency's file | Yes, checked October 2, 2026 |
| Other names | DHS/FIA 9702, DHS FIA 9702, DHR 9702, DHR/FIA 9702, 9702, Application for Assistance for one Person |
| Official source | DHS/FIA 9702 (Rev 4-2023), Maryland Department of Human Services |
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