The mission of the Division of Welfare and Supportive Services is to engage clients, staff, and the community to provide public assistance benefits to all who qualify and reasonable support for children with absentee parents to help Nevadans achieve safe, stable, and healthy lives.
Forms & Documents
Browse all Division of Welfare and Supportive Services government forms
101 - 120 of 138 forms
| Form Title | Topics |
|---|---|
| Notification of Parental Financial Responsibility | Temporary Assistance For Needy Families (Tanf), Temporary Assistance For Needy Families (TANF |
| Parental Reimbursement Questionnaire | Medical Programs |
| Parental Reimbursement Worksheet | Child Care |
| Public Law Certification | Supplemental Nutrition Assistance Program (Food Stamps), Supplemental Nutrition Assistance Program (Food Stamps) |
| Public Law Certification | Temporary Assistance For Needy Families (Tanf), Temporary Assistance For Needy Families (TANF |
| Public Law Certification | Medical Programs |
| Rent/Household Composition | Medical Programs |
| Rent/Household Composition | Supplemental Nutrition Assistance Program (Food Stamps), Supplemental Nutrition Assistance Program (Food Stamps) |
| Rent/Household Composition | Temporary Assistance For Needy Families (Tanf), Temporary Assistance For Needy Families (TANF |
| Request for a Resource Assessment | Medical Programs |
| Request for a Resource Assessment | Supplemental Nutrition Assistance Program (Food Stamps), Supplemental Nutrition Assistance Program (Food Stamps) |
| Request for Prior Medical Assistance | Medical Programs |
| Request for Resource Assessment | Temporary Assistance For Needy Families (Tanf), Temporary Assistance For Needy Families (TANF |
| Self-Employed/Tip Statement | Temporary Assistance For Needy Families (Tanf), Temporary Assistance For Needy Families (TANF |
| Self-Employed/Tip Statement | Supplemental Nutrition Assistance Program (Food Stamps), Supplemental Nutrition Assistance Program (Food Stamps) |
| Self-Employed/Tip Statement | Medical Programs |
| Self-Employment Worksheet | Temporary Assistance For Needy Families (Tanf), Temporary Assistance For Needy Families (TANF |
| Self-Employment Worksheet | Supplemental Nutrition Assistance Program (Food Stamps), Supplemental Nutrition Assistance Program (Food Stamps) |
| Self-Employment Worksheet | Medical Programs |
| SNAP Affidavit of Separate Household | Supplemental Nutrition Assistance Program (Food Stamps), Supplemental Nutrition Assistance Program (Food Stamps) |
Contact Information & Office Locations
All 4 contact points
Carson City District Office
Address:
2533 North Carson Street
Suite 200
Carson City, NV 89706-0240
- (775) 684-0800
- (775) 684-0826 (reschedule)
- (775) 684-0844
Elko / Winnemucca District Office
Address:
1020 Ruby Vista Drive
Suite 101
Elko, NV 89801
- (775) 753-1233
- (775) 753-1192 (reschedule)
- (775) 777-1601
Ely District Office
Address:
725 Avenue K
Ely, 89301
- (775) 289-1650
- (775) 289-1650 (reschedule)
- (775) 289-1645
Fallon District Office
Address:
111 Industrial Way
Fallon, NV 89406-3116
- (775) 423-3161
- (775) 428-0122 (reschedule)
- (775) 423-1450