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Listing of fillable court forms. Notice of the request shall be in writing, filed in the office of the clerk of the circuit clerk.This is a sample informational notice used to notify a client of the extension of their coverage as HHSC is determining their Medicaid eligibility. This form is to be completed after the AOP has been signed or a person has declined to sign the AOP. Before you request assistance from us, seek help from USCIS first. New York State ERAP applications are no longer being accepted. The Family Form A is available to request assistance from the Self-Help Office. Spanish - Paper Application, Paper application to apply for health coverage for children, pregnant women, parents or other caretakers, or Plan First. The application must be filed with: A. A copy of your employer's Form I-94 or approval notice demonstrating A status;. You can complete some forms online, while you can download and print all others.