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Get KS KanCare KC1500 2013

Fully and answer honestly. If you are applying for someone else, please answer the questions for that person. Sign and date this form. Your application is not complete until it is signed. Mail, fax or bring this form to your local Department for Children and Families (DCF) office as soon as possible. It may take 45 days before your application is processed. An interview is not required, but you may request one. A list of items we may need from you is on the last page of this form. Return this fo.

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