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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 your application referred to Nevada Medicaid if applicable by selecting 'Yes' or 'No'.
Fill in the personal details of the head of household, including last name, first name, date of birth, marital status, and citizenship status.
List all adults residing in the household. Include their names, dates of birth, marital status, and relationship to the applicant.
Provide information about all children in the household. Ensure to include their names, dates of birth, social security numbers, and citizenship statuses.
Complete the employment information section for each adult. Include employer details and income verification as required.
Select a health plan from the options provided on page four of the application.
Review all entered information for accuracy before signing and submitting your application.
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