Get Hca 18 005

The Hca 18 005 form serves as the application for Washington Apple Health coverage for individuals who are aged, blind, or disabled. This guide provides clear, step-by-step instructions to help users fill out the form accurately and efficiently online.

Follow the steps to complete the Hca 18 005 form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with the applicant's name and contact information in Section 1. Provide your first and last name, and complete any required details such as address, phone numbers, and email address.
3. In Section 2, indicate all programs for which you, your spouse, or someone in your household is applying by checking the appropriate boxes.
4. For Section 3, provide information about the household. List all household members, their relationships to you, dates of birth, and any relevant identification numbers.
5. Complete Section 4 regarding income. Detail all earned and unearned income, including proof of income, if applicable.
6. Section 5 addresses housing expenses. Clearly list out monthly housing costs such as rent or mortgage payments.
7. In Section 6, disclose your resources, which include assets that could be converted to cash. Be thorough in listing these items.
8. If applicable, complete the Long-Term Care section in Section 7. Provide details about any long-term care insurance policies.
9. Assign information for an authorized representative, if designating one, in Section 9.
10. Review all provided information for accuracy. Finally, complete the declaration and signature section at the end of the application before submitting.
11. After completing the form, you can save changes, download, print, or share the document as needed.

Complete your Hca 18 005 application online to ensure efficient processing of your health care coverage.