Form DR0104EE Colorado Easy Enrollment Information Form - Colorado

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Form DR0104EE Colorado Easy Enrollment Information Form - Colorado

What Is Form DR0104EE?

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.

FAQ

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.

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Form Details:

  • Released on June 3, 2021;
  • The latest edition provided by the Colorado Department of Revenue;
  • 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 fillable version of Form DR0104EE by clicking the link below or browse more documents and templates provided by the Colorado Department of Revenue.

Download Form DR0104EE Colorado Easy Enrollment Information Form - Colorado

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