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Form 205INFA Application for Health Coverage - Vermont
What Is Form 205INFA?
This is a legal form that was released by the Department of Vermont Health Access - a government authority operating within Vermont. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 205INFA?
A: Form 205INFA is an application for health coverage in Vermont.
Q: Who can use Form 205INFA?
A: Any individual or family in Vermont who needs health coverage can use this form.
Q: What does the form require?
A: The form requires information about the applicant's household, income, and eligibility for other health coverage.
Form Details:
- Released on August 1, 2016;
- The latest edition provided by the Department of Vermont Health Access;
- 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 205INFA by clicking the link below or browse more documents and templates provided by the Department of Vermont Health Access.
Download Form 205INFA Application for Health Coverage - Vermont
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