Form DHS-6696-SOM Application for Health Coverage and Help Paying Costs - Minnesota (Somali)

Form DHS-6696-SOM Application for Health Coverage and Help Paying Costs - Minnesota (Somali)

This is a legal form that was released by the Minnesota Department of Human Services - a government authority operating within Minnesota.

The document is provided in Somali. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DHS-6696-SOM?
A: Form DHS-6696-SOM is an application for health coverage and help paying costs in Minnesota. It is specifically designed for Somali-speaking individuals.

Q: Who can use Form DHS-6696-SOM?
A: Somali-speaking individuals in Minnesota can use Form DHS-6696-SOM to apply for health coverage and help with paying costs.

Q: What is the purpose of Form DHS-6696-SOM?
A: The purpose of Form DHS-6696-SOM is to provide a way for Somali-speaking individuals in Minnesota to apply for health coverage and get assistance with their costs.

Q: Is Form DHS-6696-SOM only available in Somali?
A: Yes, Form DHS-6696-SOM is specifically translated into Somali to cater to the Somali-speaking population in Minnesota.

Q: Can I get help with filling out Form DHS-6696-SOM?
A: Yes, you can get assistance with filling out Form DHS-6696-SOM by contacting your local county human services agency or other authorized organizations in Minnesota.

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Form Details:

  • Released on November 1, 2018;
  • The latest edition provided by the Minnesota Department of Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form DHS-6696-SOM by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.

Download Form DHS-6696-SOM Application for Health Coverage and Help Paying Costs - Minnesota (Somali)

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