This version of the form is not currently in use and is provided for reference only. Download this version of Form DR0104EE for the current year.
This is a legal form that was released by the Colorado Department of Revenue - a government authority operating within Colorado. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form DR0104EE?
A: Form DR0104EE is the Colorado Easy Enrollment Information Form.
Q: What is the purpose of Form DR0104EE?
A: The purpose of Form DR0104EE is to provide information for easy enrollment in various Colorado programs.
Q: Who is required to fill out Form DR0104EE?
A: Anyone who needs to apply for or renew their eligibility for Colorado programs mentioned in the form needs to fill out Form DR0104EE.
Q: What information is required on Form DR0104EE?
A: Form DR0104EE requires information about your personal details, income, and household members.
Q: What programs does Form DR0104EE cover?
A: Form DR0104EE covers programs such as Health First Colorado (Medicaid), Child Health Plan Plus (CHP+), and food assistance programs.
Q: Is Form DR0104EE only for residents of Colorado?
A: Yes, Form DR0104EE is specifically for residents of Colorado.
Q: When is the deadline to submit Form DR0104EE?
A: The deadline to submit Form DR0104EE depends on the specific program you are applying for, so it's important to check program-specific deadlines.
Q: Can I get help filling out Form DR0104EE?
A: Yes, you can get assistance in filling out Form DR0104EE by contacting the Colorado PEAK Customer Service Center or visiting a local Department of Human Services office.
Form Details:
Download a fillable version of Form DR0104EE by clicking the link below or browse more documents and templates provided by the Colorado Department of Revenue.