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Click ‘Get Form’ to open the Nevada Check Up application in the editor.
Begin by entering your family identification number if you have previously applied. This helps streamline your application process.
Indicate whether you want this application referred to Nevada Medicaid if applicable by selecting 'Yes' or 'No'.
Fill in the personal details of the head of the household, including name, date of birth, marital status, and citizenship status. Ensure all required fields are completed accurately.
List all adults and children in your household. For each individual, provide their name, date of birth, social security number, and relationship to the applicant.
Complete the employment information section for each adult in the household. Include employer details and gross pay before taxes.
Select a health plan preference from the options provided. If no selection is made, a plan will be assigned to you.
Review all entered information for accuracy before signing and submitting your application.
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