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Economic Self Sufficiency Forms

For a complete listing of DCF forms visit:

Application Forms

Please note: Applications for assistance may be submitted electronically. Please visit:

  • Family-Related Medicaid Application:
    Print and fill out this application if you are pregnant or have children who are 20 or under living with you and only want to apply for Medicaid.

If you want to apply for Food Assistance and/or Temporary Cash Assistance, in addition to Medicaid, print and fill out the ACCESS Florida Application below.

  • ACCESS Florida Application:
    Fill out this application if you want to apply for Food or Cash Assistance, Family related Medical assistance, Relative Caregiver, Optional State Supplementation or medical assistance for Age 65 or over, Blind or Disabled, Medicaid Waiver/Home and Community Based Services, Hospice or Nursing Home Care.

General Program Forms

Food Assistance Program Forms

Temporary Cash Assistance Program Forms

Medicaid Program Forms

Questions should be directed to the Department Webmaster.