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This Form is used for requesting bank domiciliation in Spain.
This document is used for requesting a copy of your tax return in Spanish.
This form is used for requesting a monthly reimbursement in Florida.
This Form is used for requesting a cost exemption in Michigan.
This form is used for verifying individual services for the Self-Employment Assistance Program in New York.
This document is for individuals in Colorado who are seeking public assistance. It is written in Spanish.
This document is a form for applying for assistance in New Mexico.
This Form is used for citizens of New Hampshire to request assistance from the Department of Foreign Affairs (DFA) in cases requiring support for a community or town.
This form is used to apply for medical coverage and assistance in paying costs in Iowa.
This form is used for requesting medical insurance coverage and financial assistance to pay for costs in Tennessee.
This Form is used for requesting benefits in Kansas. It is a Spanish version of the ES-3100S form.
This type of document is used to request assistance for childhood in Louisiana.
This document is a questionnaire used in Texas to gather information about the profile of parents. It is written in Spanish.
This Form is used for informing Texas residents about their eligibility for Medicaid cost-sharing participation.
This Form is used for requesting retroactive Medicaid coverage in Texas.
This type of document is used for the verification of benefits in the state of Texas.
This form is used for notifying individuals in Texas (Spanish-speaking) about the denial of their Medicaid Buy-In for Children application.
This type of document is used for determining Medicaid eligibility for children in Texas in the previous months.