Form 470-5198 Medically Exempt Attestation and Referral - Iowa

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Form 470-5198 Medically Exempt Attestation and Referral - Iowa

What Is Form 470-5198?

This is a legal form that was released by the Iowa Department of Human Services - a government authority operating within Iowa. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 470-5198?
A: Form 470-5198 is the Medically Exempt Attestation and Referral form used in Iowa.

Q: Who uses Form 470-5198?
A: This form is used by individuals in Iowa who are seeking a medical exemption from certain requirements.

Q: What is the purpose of Form 470-5198?
A: The purpose of this form is to attest that an individual is medically exempt from certain requirements and to provide a referral for appropriate services.

Q: Do I need a doctor's recommendation to fill out Form 470-5198?
A: Yes, you will need a doctor's recommendation or certification stating that you are medically exempt from the requirements.

Q: What requirements can I be exempt from with Form 470-5198?
A: The specific requirements vary, but examples may include work or employment requirements for certain assistance programs.

Q: Is there a fee to submit Form 470-5198?
A: No, there is no fee to submit this form.

Q: How long does it take to process Form 470-5198?
A: Processing times can vary, but it is recommended to submit the form as soon as possible to avoid any delays in receiving benefits or services.

Q: What should I do if I have additional questions about Form 470-5198?
A: If you have additional questions, it is best to reach out to the Iowa Department of Human Services or your local Iowa DHS office for further assistance.

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Form Details:

  • Released on February 1, 2018;
  • The latest edition provided by the Iowa Department of Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form 470-5198 by clicking the link below or browse more documents and templates provided by the Iowa Department of Human Services.

Download Form 470-5198 Medically Exempt Attestation and Referral - Iowa

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