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Click ‘Get Form’ to open the hfs 2378dr in the editor.
Begin by filling out the personal information section. Enter the applicant's name, address, and contact details accurately.
Complete the income and benefits section. List all sources of income for everyone applying, ensuring to attach proof of income as required.
If applicable, fill out Forms A through H based on your situation. For example, complete Form A if anyone has Medicare or other health insurance.
Review all entries for accuracy. Ensure that all required documents are attached before signing the application.
Once completed, submit your application by mailing it to your local DHS FCRC office as indicated in the instructions.

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