Get Print The Application - Arkids First

Filling out the Print The Application - ARKids First online can be an essential step in securing health coverage for you and your family. This guide provides clear instructions to help you navigate the form effectively.

Follow the steps to successfully complete the application.

1. Click ‘Get Form’ button to access the Print The Application - ARKids First and open it for editing.
2. Begin by providing your personal information in Step 1. Fill in your first name, middle name, last name, and suffix, as well as your home address, including apartment or suite number, city, state, ZIP code, and county. You may also include additional contact information such as a preferred phone number and email address.
3. Proceed to Step 2. Here, include details about all family members residing with you, including yourself, your spouse/partner, and any dependent children. Make sure to accurately represent your relationship to each person listed.
4. Continue with the income details for each family member by providing employment and income information in Step 2 under Current Job & Income Information. Indicate if the person is employed, self-employed, or not employed, and provide transactions accordingly.
5. If necessary, complete Step 3 regarding American Indian or Alaskan Native family members. Indicate if you or any family member identifies as such, and follow the prompts as directed.
6. In Step 4, if anyone has current health coverage, answer the questions related to existing insurance policies and if any family member is offered health coverage from a job.
7. Read and sign the application in Step 5, confirming that the information provided is truthful and accurate. Be sure to review the conditions regarding eligibility and ongoing coverage.
8. Finally, in Step 6, mail the completed and signed application to the address provided. You also have the option to email or fax your application.

Complete your application online today to secure your health coverage.