Get Coverkids Application

The Coverkids application is designed to provide health coverage for children and pregnant women in need. This guide offers step-by-step instructions on how to successfully complete the application online, ensuring that all necessary information is included.

Follow the steps to complete the Coverkids application online.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred editing tool.
2. Begin by filling out Section 1, which collects information about the responsible adult(s) in the household. Make sure to include names, dates of birth, contact information, and social security numbers as required.
3. In Section 2, provide detailed information about all children under 19 who reside with you. Ensure to input the children’s names as they appear on their birth certificates, along with their citizenship status and health insurance details.
4. If you are applying for maternity benefits, complete Section 3. This requires information about the pregnant individual, including the due date and health insurance coverage. Remember to obtain a doctor's letter stating the pregnancy.
5. Section 4 asks for gross household income. List everyone who receives income in the household, detailing sources of income and corresponding amounts.
6. In Section 5, if applicable, indicate any child support payments made for children not living with you, as well as daycare expenses for children in your care.
7. Complete Section 6, which includes certifications and authorizations. Read through the statements carefully and provide your signatory consent.
8. Once the application is thoroughly completed, save the changes. You can then download, print, or share the form as needed. Remember to keep a copy for your records before submitting the application.

Complete your documents online today to ensure timely processing of your Coverkids application.