This is a legal form that was released by the Washington State Health Care Authority - a government authority operating within Washington.
The document is provided in Burmese. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is form HCA14-430?
A: Form HCA14-430 is the application for pregnant teen health care coverage in Washington for teens under age 19.
Q: Who is eligible to use form HCA14-430?
A: Teens under age 19 who are pregnant and seeking health care coverage in Washington can use form HCA14-430.
Q: What does form HCA14-430 cover?
A: Form HCA14-430 covers health care services for pregnant teens under age 19 in Washington.
Q: Is form HCA14-430 only available in Burmese?
A: Yes, the document you have specified is in Burmese.
Form Details:
Download a printable version of Form HCA14-430 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.