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Versions | Form popularity | Fillable & printable |
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2012 | 4.8 Satisfied (216 Votes) |
The application allows individuals to apply for various benefits including AHCCCS Health Insurance, Cash Assistance/TANF, Nutrition Assistance, and Tuberculosis Control.
Individuals with little or no money may qualify for emergency Nutrition Assistance benefits, which can be determined through the application process.
Most applicants do not have to pay a monthly premium for AHCCCS Health Insurance; however, some may need to pay based on their income level.
An interview is typically required for Cash Assistance and Nutrition Assistance applications, but may not be necessary for AHCCCS Health Insurance alone.
Applicants have rights regarding courteous treatment and confidentiality of their information, as well as responsibilities to provide accurate information and report changes.
The application includes an option to register to vote, ensuring that applying for benefits does not affect voter registration status.
The Department of Economic Security prohibits discrimination in its programs based on race, color, religion, sex, national origin, age, disability, and other factors.