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Medicaid Hawk I Review - Fill and Sign Printable Template 2026
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- Click ‘Get Form’ to open the Medicaid Hawk I Review template in our editor.
- Begin by entering your Due Date, Case Number, County Number, and Worker Name at the top of the form.
- Carefully answer all questions regarding your household members. Ensure you provide accurate information for each person listed.
- Review your contact information section. Correct any inaccuracies in your name, address, phone number, and email.
- Fill out the Household Members section by providing details such as names, ages, relationships, and whether they are receiving Medicaid or Hawki.
- Complete the Tax Information section if applicable. Indicate if you plan to file a federal income tax return this year.
- Sign the form on page 8 where indicated. Ensure that all required fields are filled before submission.
- Return the completed form via mail or in-person to your local DHS office by the specified deadline.
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