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Form 032-03-0994-00-ENG Affidavit of Identity for Medicaid Applicants / Recipients Residing in an Institution - Virginia
What Is Form 032-03-0994-00-ENG?
This is a legal form that was released by the Virginia Department of Social Services - a government authority operating within Virginia. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 032-03-0994-00-ENG?
A: Form 032-03-0994-00-ENG is an Affidavit of Identity for Medicaid Applicants/Recipients Residing in an Institution in Virginia.
Q: Who needs to complete Form 032-03-0994-00-ENG?
A: Medicaid applicants or recipients residing in an institution in Virginia need to complete this form.
Q: What is the purpose of Form 032-03-0994-00-ENG?
A: The purpose of Form 032-03-0994-00-ENG is to verify the identity of Medicaid applicants/recipients residing in an institution.
Form Details:
- Released on September 1, 2007;
- The latest edition provided by the Virginia Department of Social Services;
- 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 printable version of Form 032-03-0994-00-ENG by clicking the link below or browse more documents and templates provided by the Virginia Department of Social Services.
