Get Msupport

Filling out the Msupport application is an essential step toward receiving financial assistance from the University of Michigan Health System. This guide will walk you through the necessary steps to complete the form accurately and efficiently, ensuring your information is submitted correctly.

Follow the steps to complete your Msupport application.

1. Press the ‘Get Form’ button to access the application and open it in your editor.
2. In the 'Applicant Information' section, provide your first name, last name, birth date, street address, city, state, zip code, and email address. Fill in your marital status and phone number, ensuring all fields are accurately completed.
3. Indicate your residence status by checking one of the options: Rent, Own, or Other. Then, state whether you are enrolled in a college or university, specifying if you are a full-time student and if the school offers health insurance.
4. In the 'Family Group Living In Home' section, list the names, relationships, and ages of all individuals residing with you, including yourself.
5. Proceed to the 'Financial Information' section. For checking and savings accounts, include the bank name and balance. If you have no accounts, check the appropriate box.
6. List your monthly income sources, including employment, social security, pensions, and any other relevant income. Ensure you total your income accurately.
7. Detail your household assets, such as real estate, investments, and retirement accounts. Provide values and balance owing for each asset.
8. Read the disclaimer carefully and initial to indicate your understanding and agreement, particularly regarding credit checks and the requirement to report any changes in your situation.
9. If applicable, provide the name and relationship of any person supporting you financially. They will need to complete the enclosed letter of support.
10. Finally, sign the application as the patient or legal guardian, date it, and ensure you provide the date by which the application should be returned.
11. Once you have completed the form, save your changes, and consider downloading, printing, or sharing the document as needed for submission.

Start filling out your Msupport application online today to take the next step towards financial assistance.