City of Nashua Welfare Department Forms

The following forms can be filled out on a smart phone or computer and submitted electronically, scanned and e-mailed to Welfare2@NashuaNH.gov, or printed and delivered to the City of Nashua Welfare Department.

• Rental Information Form
• Employment Verification Form
• Medical Report Form
• Motel Guest Form
• Employment Search Log
• Authorized Representative Form

These forms must be submitted along with a completed application for consideration for General Assistance. To obtain an application for assistance, call the City of Nashua Welfare Department at 603-589-4555.  

Guidelines & Standards

• Welfare Department General Assistance Guidelines (PDF)
• City of Nashua Approved Financial Standards Effective December 22, 2020 (PDF)

Assistance Programs

Homelessness Assistance

If you are experiencing homelessness in Nashua, contact the Coordinated Entry Line at 1-844-800-9911. They will complete an assessment and refer you to the appropriate agency for assistance. You may also contact NH 2-1-1 (Dial 211 in NH) for homeless resources outside of Nashua. 

Long Term Assistance

If you are seeking information on long term assistance programs such as Financial Assistance To Needy Families (FANF), foster care, disability grants, Medicaid, nursing home care, elderly care, or the food stamp program, contact the New Hampshire Department of Health and Human Services at 1-800-852-3345. If you live in Greater Nashua, contact the State branch at 603-883-7726.

Entitlement Programs

For entitlement programs such as disability, Medicare, retirement benefits, or widow benefits, contact the Social Security Administration at 800-772-1213 or visit their website at Social Security Online.

If you are looking for information on other non-profit human service organizations within the Greater Nashua Region, visit the Greater Nashua Continuum of Care toolkit. This toolkit includes information on area homeless shelters, food pantries, mental health services, and more.

If you are seeking information on obtaining unemployment compensation benefits, job re-training, current employment opportunities, or job search techniques you may contact the Department of Employment Security at 603-882-5177 or visit their website at New Hampshire Employment Security Home Page.