This version of the form is not currently in use and is provided for reference only. Download this version of Form NWT4355 for the current year.
The Form NWT4355 Metis Health Benefits Application is used by members of the Metis community in the Northwest Territories, Canada to apply for health benefits. It is available in both English and French and allows individuals to request access to specific health services and programs.
The Form NWT4355 Metis Health Benefits Application in Northwest Territories, Canada can be filed by individuals who are eligible for Metis Health Benefits. This form can be filled out by the individual themselves or by their authorized representative.
Q: What is Form NWT4355?
A: Form NWT4355 is the Metis Health Benefits Application in Northwest Territories, Canada.
Q: Who is eligible for Metis Health Benefits?
A: Metis individuals who are residents of Northwest Territories are eligible for Metis Health Benefits.
Q: Is Form NWT4355 available in both English and French?
A: Yes, Form NWT4355 is available in both English and French.
Q: What information do I need to provide on Form NWT4355?
A: You need to provide personal information, contact details, and relevant health information on Form NWT4355.
Q: What are the benefits of Metis Health Benefits?
A: Metis Health Benefits provide coverage for essential health services, prescription drugs, medical equipment, and supplies.
Q: Is there a deadline for submitting Form NWT4355?
A: There is no specific deadline mentioned for submitting Form NWT4355, but it is recommended to submit the form as soon as possible to access the benefits.