Form PA-77 Intent to Apply for Ktap, Medicaid, State Supplementation, and / or Child Care Assistance - Kentucky

What Is Form PA-77?

This is a legal form that was released by the Kentucky Department for Community Based Services - a government authority operating within Kentucky. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

• Released on October 1, 2017;
• The latest edition provided by the Kentucky Department for Community Based Services;
• Easy to use and ready to print;
• Available in Spanish;
• Quick to customize;
• Compatible with most PDF-viewing applications;
• Fill out the form in our online filing application.

Download a printable version of Form PA-77 by clicking the link below or browse more documents and templates provided by the Kentucky Department for Community Based Services.