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Form DHS1100A Application for Health Coverage & Help Paying Costs (Short Form) - Hawaii
What Is Form DHS1100A?
This is a legal form that was released by the Hawaii Department of Human Services - a government authority operating within Hawaii. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DHS1100A Application for Health Coverage & Help Paying Costs?A: DHS1100A is a short form application used in Hawaii to apply for health coverage and assistance with costs.
Q: Who can use DHS1100A Application?A: Residents of Hawaii who are seeking health coverage and help with paying costs can use this application.
Q: What is the purpose of DHS1100A Application?A: The purpose is to apply for health coverage programs and receive assistance in paying for medical costs in Hawaii.
Q: What information is required in DHS1100A Application?A: The application requires personal information, income details, household details, and other related information.
Q: Is DHS1100A Application available in other languages?A: Yes, the application is available in multiple languages to accommodate non-English speakers.
Q: Is there a deadline to submit DHS1100A Application?A: There is no specific deadline, but it is recommended to submit the application as soon as possible to ensure timely coverage.
Form Details:
- Released on September 1, 2013;
- The latest edition provided by the Hawaii Department of 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 fillable version of Form DHS1100A by clicking the link below or browse more documents and templates provided by the Hawaii Department of Human Services.
Download Form DHS1100A Application for Health Coverage & Help Paying Costs (Short Form) - Hawaii
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