Request Assistance

Support Form

Please Select the Issue you need assistance with and complete the required fields.

Please provide us with your contact information to follow up on this issue.

(Example: (123) 456-7890)

Policy Questions? You can contact DHHS Monday through Friday 8:00 am to 4:30 pm at: 1-855-797-4357 or TTY users can call Maine relay 711. You can also email DHHS at: You can also email DHHS using the Request Assistance Form.