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The document is an application form for the Access for Infants and Mothers (AIM) Program, designed to provide health coverage for pregnant women in California. It includes sections for personal information, health plan choices, family size, income details, and declarations regarding eligibility. The application requires documentation of pregnancy and income verification, along with a $50 payment. It outlines the necessary steps and information needed to complete the application process.

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Versions	Form popularity	Fillable & printable
2008	4.8 Satisfied (104 Votes)

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