Form DFA-SLA-2 Application for Health Coverage & Help Paying Costs (Short Form) - West Virginia

Form DFA-SLA-2 Application for Health Coverage & Help Paying Costs (Short Form) - West Virginia

What Is Form DFA-SLA-2?

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 DFA-SLA-2 Application for Health Coverage & Help Paying Costs (Short Form)?
A: DFA-SLA-2 Application for Health Coverage & Help Paying Costs (Short Form) is an application for health coverage and financial assistance in West Virginia.

Q: Who can use the DFA-SLA-2 Application for Health Coverage & Help Paying Costs (Short Form)?
A: Residents of West Virginia who need health coverage and financial assistance can use the DFA-SLA-2 Application.

Q: What does the DFA-SLA-2 Application for Health Coverage & Help Paying Costs (Short Form) cover?
A: The DFA-SLA-2 Application covers health coverage and financial assistance for eligible individuals in West Virginia.

Q: How do I apply for health coverage and financial assistance using the DFA-SLA-2 Application?
A: You need to fill out the DFA-SLA-2 Application form with accurate information and submit it to the West Virginia Department of Health and Human Resources.

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Form Details:

  • Released on September 1, 2015;
  • 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-2 by clicking the link below or browse more documents and templates provided by the West Virginia Department of Health and Human Resources.

Download Form DFA-SLA-2 Application for Health Coverage & Help Paying Costs (Short Form) - West Virginia

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