Form DFA-SLA-S1 Supplement to Application for Health Coverage - West Virginia

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What Is Form DFA-SLA-S1?

This is a legal form that was released by the West Virginia Department of Health and Human Resources - a government authority operating within West Virginia. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the DFA-SLA-S1 Supplement?
A: The DFA-SLA-S1 Supplement is a form that is used to provide additional information when applying for health coverage in West Virginia.

Q: What does DFA-SLA-S1 stand for?
A: DFA-SLA-S1 stands for Department of Family Assistance - Supplemental Living Allowance - Schedule 1.

Q: What is the purpose of the DFA-SLA-S1 Supplement?
A: The purpose of the DFA-SLA-S1 Supplement is to gather additional information about an individual's eligibility for health coverage in West Virginia.

Q: Who should complete the DFA-SLA-S1 Supplement?
A: The DFA-SLA-S1 Supplement should be completed by individuals applying for health coverage in West Virginia who need to provide additional information.

Q: Are there any fees associated with submitting the DFA-SLA-S1 Supplement?
A: There are no fees associated with submitting the DFA-SLA-S1 Supplement.

Q: What documents may be required when completing the DFA-SLA-S1 Supplement?
A: The specific documents required when completing the DFA-SLA-S1 Supplement may vary depending on individual circumstances. It is recommended to review the instructions provided with the form or contact the West Virginia Department of Health and Human Resources for guidance.

Form Details:

Released on October 1, 2013;
The latest edition provided by the West Virginia Department of Health and Human Resources;
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 DFA-SLA-S1 by clicking the link below or browse more documents and templates provided by the West Virginia Department of Health and Human Resources.