Oklahoma General Request Form

State:
Oklahoma
Control #:
OK-SKU-0025
Format:
PDF
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Description

General Request Form

The Oklahoma General Request Form is a document used to request any number of services from the state of Oklahoma. It can be used to request public records, order copies of vital records, request information from state agencies, and apply for various state programs and services. The form is available in both electronic and paper format. There are three types of Oklahoma General Request Form: the Request for Public Records Form, the Request for Vital Records Form, and the Request for Information Form. The Request for Public Records Form is used to obtain public records from the state. The Request for Vital Records Form is used to order copies of vital records such as birth certificates, death certificates, and marriage licenses. The Request for Information Form is used to request information from state agencies, such as contact information or program information.

How to fill out Oklahoma General Request Form?

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FAQ

The APS Healthcare Medicaid Preauthorization Unit approves or disapproves these requests and may be reached by phone at 800-762-1639.

For assistance with the Online SoonerCare Application or other questions or concerns about SoonerCare, please call the SoonerCare Helpline at 800-987-7767.

SoonerCare is the brand name given to Oklahoma's Medicaid program. Medicaid is a program that covers medical expenses for certain groups of people who have limited income and resources. The Oklahoma Health Care Authority is the state agency that administers the program.

Household members include spouse, significant other if you have children together or are common-law, biological children, step-children, and adopted children under the age of 19.

Expansion Adults (effective: 4/1/2023) Size of HouseholdMonthly IncomeAnnual Income1$1,677$20,1242$2,269$27,2283$2,860$34,3204$3,450$41,4004 more rows ?

If you are applying for SoonerCare for the first time, you must provide one-time proof of your U.S. citizenship and identity. This flyer explains how to send in that proof. Newborn children (under age one) of SoonerCare members do not have to show proof.

Timely filing is 183 calendar days from the date of service.

More info

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Oklahoma General Request Form