This version of the form is not currently in use and is provided for reference only. Download this version of Form 470-5198 for the current year.
This is a legal form that was released by the Iowa Department of Human Services - a government authority operating within Iowa. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 470-5198?
A: Form 470-5198 is the Medically Exempt Attestation and Referral form used in Iowa.
Q: Who uses Form 470-5198?
A: This form is used by individuals in Iowa who are seeking a medical exemption from certain requirements.
Q: What is the purpose of Form 470-5198?
A: The purpose of this form is to attest that an individual is medically exempt from certain requirements and to provide a referral for appropriate services.
Q: Do I need a doctor's recommendation to fill out Form 470-5198?
A: Yes, you will need a doctor's recommendation or certification stating that you are medically exempt from the requirements.
Q: What requirements can I be exempt from with Form 470-5198?
A: The specific requirements vary, but examples may include work or employment requirements for certain assistance programs.
Q: Is there a fee to submit Form 470-5198?
A: No, there is no fee to submit this form.
Q: How long does it take to process Form 470-5198?
A: Processing times can vary, but it is recommended to submit the form as soon as possible to avoid any delays in receiving benefits or services.
Q: What should I do if I have additional questions about Form 470-5198?
A: If you have additional questions, it is best to reach out to the Iowa Department of Human Services or your local Iowa DHS office for further assistance.
Form Details:
Download a fillable version of Form 470-5198 by clicking the link below or browse more documents and templates provided by the Iowa Department of Human Services.