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Get Application: Nami Dental Assistance Program - Nami
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How to fill out the Application: NAMI Dental Assistance Program - Nami online
The NAMI Dental Assistance Program provides essential support for individuals in need of urgent dental care. This guide will help you understand how to properly fill out the application online, ensuring a smooth submission process.
Follow the steps to complete your application successfully.
- Press the ‘Get Form’ button to retrieve the application form and open it in your preferred editing tool.
- Begin with the applicant’s bio data section. Fill out your full name, address, city, state, zip code, phone number, and email address accurately.
- In the section labeled 'NAMIGO Member or Individual Referring You to this Program,' provide the contact name, phone number, and email address of the NAMIGO member or individual if applicable.
- For the request details, clearly specify the purpose of the funds and the amount you are requesting, making sure it does not exceed $500. Indicate the date by which the funds are needed.
- Describe the potential consequences if your funding request is not granted, illustrating the necessity of the assistance.
- List any other resources from which you have sought funding, providing at least three examples.
- Mention any contributions you have secured towards your request, including the sources and amounts.
- Provide the name and address of the dentist that the payment should be made payable to, along with their phone number and fax number.
- Read the conditions listed at the bottom of the application thoroughly. Acknowledge your understanding by signing and dating the document, followed by the signature of a NAMIGO board member.
- After completing the application, save your changes. You can download or print the form for submission. Ensure you send it to the provided contact details for processing.
Begin your application online today to secure the dental assistance you need.
When you call NAMI, you connect with trained professionals who can provide immediate support and guidance. They listen to your concerns, offer resources, and can help you explore programs like the Application: NAMI Dental Assistance Program - Nami. Whether you need information or someone to talk to, NAMI is there to assist you.
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