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 Palauan. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form HCA19-0020?
A: Form HCA19-0020 is the Cofa Islander Health Care Contact Card for residents in Washington who are Palauan.
Q: Who is eligible to use Form HCA19-0020?
A: Residents in Washington who are Palauan are eligible to use Form HCA19-0020.
Q: What is the purpose of Form HCA19-0020?
A: The purpose of Form HCA19-0020 is to provide contact information for Palauan individuals who may be eligible for health care benefits.
Q: What should I do with Form HCA19-0020 once I have completed it?
A: Once you have completed Form HCA19-0020, you should return it to the Washington Health Care Authority.
Form Details:
Download a printable version of Form HCA19-0020 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.