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Assistance Application (DHS-1171)

Check Eligibility ButtonFind out if you're eligible and apply for assistance online using MI Bridges.

Once you've created your MI Bridges account, you can view your case information, upcoming appointments, and make changes to your case. No waiting in line, no traveling to your local DHS office - it's all online from the convenience of your own home or public computer!

If you do not have computer access or prefer to complete a paper application and take it in to your local DHS office, use the link below to get started.

The DHS-1171 is a packet containing an application for assistance, an information booklet and a filing form. The entire assistance application must be completed. The application may be filled out online but you must print it before taking the completed application to the DHS office closest to your area.

NOTE: The Assistance Application - DHS-1171 no longer contains any information regarding Medicaid and cannot be used to apply for healthcare coverage. Use the MI Department of Community Health Application for Health Coverage & Help Paying Costs - DCH-1426 to apply for healthcare coverage.

 



Related Documents
DHS 1171 Information Booklet, Assistance Application and Filing Form - 593740 bytes PDF icon
DHS-1171-AR, Assistance Application, Arabic - 65974 bytes PDF icon
DHS-1171-SP, Assistance Application and Information Booklet - Spanish - 65974 bytes PDF icon
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