This is a legal form that was released by the Arizona Department of Economic Security - a government authority operating within Arizona. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form FA-001-K?
A: Form FA-001-K is an application addendum for Kidscare in Arizona.
Q: What is Kidscare?
A: Kidscare is a health insurance program for children in Arizona.
Q: Who should use Form FA-001-K?
A: Form FA-001-K should be used by individuals applying for Kidscare.
Q: What information is required on Form FA-001-K?
A: Form FA-001-K requires personal information, income details, and household information.
Q: Is there a deadline for submitting Form FA-001-K?
A: There may be a deadline for submitting Form FA-001-K, so it is important to check the instructions or contact AHCCCS for more information.
Q: Is Kidscare available for adults?
A: No, Kidscare is specifically for children.
Form Details:
Download a fillable version of Form FA-001-K by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.