Get Dco-152 Application For Arkids First

The DCO-152 Application For ARKids First is a key document for individuals and families seeking health coverage in Arkansas. This guide will provide clear, step-by-step instructions for completing the application online, ensuring that users can confidently fill out each section accurately.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the DCO-152 Application and open it in the provided editor, allowing you to begin filling out your application.
2. In the first section, provide personal information about yourself, including your full name, address, and contact details. Ensure all fields like city, state, and ZIP code are filled accurately. If you live in a state different from Arkansas, indicate your intent to return.
3. In the family section, list all members of your household, including yourself. This should encompass not only those living with you but also tax dependents. Follow the prompts for each family member and fill out forms DCO-152C if applicable.
4. For each family member, complete their personal information, relationship to you, date of birth, and social security number. If a family member does not have health coverage but will be listed, ensure to complete relevant questions regarding their employment and income.
5. Under income information, provide details regarding your job(s), income, and any benefits you receive. This includes answering questions about deductions and estimated yearly income if your monthly income fluctuates.
6. Complete the health coverage section, indicating if any family members currently have health insurance. Include any other necessary documentation, and check relevant coverage options.
7. Once all sections are filled out, review your application for accuracy, ensuring no critical information is omitted. Sign the application, indicating your understanding of the information provided.
8. Finally, submit your completed DCO-152 Application either by mailing it to the designated address, emailing, or faxing it. Ensure to keep copies of the submitted documents for your records.

Start your application today to secure health coverage online!