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Form DOH-4220 Health Insurance Application - New York (Haitian Creole)
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 Haitian Creole. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the DOH-4220 Health Insurance Application?
A: The DOH-4220 Health Insurance Application is a form used in New York to apply for health insurance.
Q: Is the DOH-4220 Health Insurance Application available in Haitian Creole?
A: Yes, the DOH-4220 Health Insurance Application is available in Haitian Creole.
Q: Who can use the DOH-4220 Health Insurance Application?
A: Any resident of New York who is eligible for health insurance can use the DOH-4220 application.
Q: What information do I need to provide on the DOH-4220 Health Insurance Application?
A: You will need to provide personal information, income details, and other information about yourself and your household on the DOH-4220 application.
Form Details:
- Released on March 1, 2015;
- The latest edition provided by the New York State Department of Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
Download a printable version of Form DOH-4220 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.
Download Form DOH-4220 Health Insurance Application - New York (Haitian Creole)
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