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Form DHS-4574-B Assets Declaration Patient and Spouse - Michigan
What Is Form DHS-4574-B?
This is a legal form that was released by the Michigan Department of Health and Human Services - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DHS-4574-B?A: DHS-4574-B is a form for assets declaration for a patient and their spouse in Michigan.
Q: Who needs to fill out DHS-4574-B?A: Patients and their spouses in Michigan need to fill out DHS-4574-B form to declare their assets.
Q: What is the purpose of DHS-4574-B?A: The purpose of DHS-4574-B is to declare the assets of a patient and their spouse in Michigan for the purpose of healthcare eligibility.
Q: Is DHS-4574-B specific to Michigan?A: Yes, DHS-4574-B is specific to Michigan and is used for assets declaration in the state.
Q: Is filling out DHS-4574-B mandatory?A: Yes, patients and their spouses in Michigan are required to fill out DHS-4574-B form for assets declaration.
Form Details:
- Released on May 1, 2016;
- The latest edition provided by the Michigan Department of Health and 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 DHS-4574-B by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Michigan Department of Health and Human Services.
Download Form DHS-4574-B Assets Declaration Patient and Spouse - Michigan
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