Form DCO-662 Third Party Resource / Medical Insurance - Arkansas

Form DCO-662 Third Party Resource / Medical Insurance - Arkansas

What Is Form DCO-662?

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

FAQ

Q: What is Form DCO-662?
A: Form DCO-662 is a document used in Arkansas for reporting third-party resources and medical insurance.

Q: Who uses Form DCO-662?
A: Form DCO-662 is used by individuals in Arkansas who need to report their third-party resources and medical insurance.

Q: What is the purpose of Form DCO-662?
A: The purpose of Form DCO-662 is to provide information about any third-party resources or medical insurance that an individual may have. This information may affect their eligibility for certain benefits.

Q: Do I have to fill out Form DCO-662?
A: If you are a resident of Arkansas and receive certain benefits, you may be required to fill out Form DCO-662. It is best to check with the appropriate agency or office to determine if you need to complete this form.

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Form Details:

  • Released on January 1, 2014;
  • The latest edition provided by the Arkansas Department of Human Services;
  • 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 DCO-662 by clicking the link below or browse more documents and templates provided by the Arkansas Department of Human Services.

Download Form DCO-662 Third Party Resource / Medical Insurance - Arkansas

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