This is a legal form that was released by the New York State Department of Health - a government authority operating within New York.
The document is provided in Korean. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form DOH-5178A-KO?
A: Form DOH-5178A-KO is a supplement to the Access NY Health Care Application Doh-4220, specifically for Korean speakers in New York.
Q: What is the Access NY Health Care Application Doh-4220?
A: The Access NY Health Care Application Doh-4220 is a form used to apply for health care benefits in New York.
Q: Who is the Form DOH-5178A-KO Supplement A for?
A: The Form DOH-5178A-KO Supplement A is specifically for Korean-speaking individuals in New York who are applying for health care benefits.
Q: What should I do with the Form DOH-5178A-KO?
A: If you are a Korean speaker in New York applying for health care benefits, you should complete and submit the Form DOH-5178A-KO along with the Access NY Health Care Application Doh-4220.
Q: Do I need to speak Korean to use the Form DOH-5178A-KO?
A: Yes, the Form DOH-5178A-KO is specifically designed for Korean speakers, so you would need to understand Korean in order to use it effectively.
Form Details:
Download a printable version of Form DOH-5178A-KO Supplement A by clicking the link below or browse more documents and templates provided by the New York State Department of Health.