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Click ‘Get Form’ to open the kynect forms khbe i10 in the editor.
Begin by filling out the 'Tell Us about Yourself' section. Enter the Responsible Party's first name, middle initial, last name, and suffix as it appears on their Social Security card.
Provide the Social Security Number (SSN) if applicable. If not providing an SSN, select a reason from the options provided.
Complete the date of birth and gender fields. Confirm residency in Kentucky by selecting 'Yes' or 'No'.
Fill in the home address details. If there is no home address, check the appropriate box and provide a mailing address if different.
Continue through each section, ensuring all required fields are completed accurately for each household member listed.
Once all sections are filled out, review your information for accuracy before signing and dating the application at Step 5.
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Nov 1, 2022 Waiver Services Personal Needs Allowance (PNA) increased to $3,002;. Community Spouse Resource Allowance minimum increased to $32,532;.Read more
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