Apply for Benefits

The following forms will let you apply for various assistance programs. If you are a registered user, you can save the information you entered and return to the form at a later time to complete your application. Once you have registered and completed your first application form, you can save time as additional forms will be auto-completed for you.

Go to the eForm FAQs page to view answers to frequently asked questions about these electronic forms (eForms).

Medical Assistance Application via Medicaid provided to apply for medical assistance from Hawaii Department of Human Services.

Financial Assistance and Supplemental Nutrition Assistance Program (SNAP) Form. Apply for Financial or Supplemental Nutrition Assistance Program (formerly known as Food Stamp Program) from Hawaii Department of Human Services.  This link will take you to the Department of Human Services where you can access the SNAP application.

Adobe Acrobat Reader is free software that is required to view these forms. Download Acrobat Reader.

Wednesday, November 22, 2017