Form FA-001-K Kidscare Application Addendum - Arizona

Form FA-001-K Kidscare Application Addendum - Arizona

What Is Form FA-001-K?

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.

FAQ

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.

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Form Details:

  • Released on July 1, 2016;
  • The latest edition provided by the Arizona Department of Economic Security;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

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.

Download Form FA-001-K Kidscare Application Addendum - Arizona

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