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Get Medicaid Hawk I Review - Fill And Sign Printable Template ...

Number County Number Worker Name It s time to review your case. This information will be used to decide if you will continue to get Medicaid/Hawki. You can provide the information in this form in any one of these ways By mail: Complete and mail this form using the envelope that was included. Be sure to mail it to the address above. In-person: Bring the completed form to your local DHS office. How to Complete this Form 1. 2. 3. 4. Answer all of the questions on the form. Read.

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