Form 13844 for Salt Lake Utah 2025

Form 13844 for Salt Lake Utah: What You Should Know

Also use the forms to request that your child get a certificate of eligibility for Medicaid. Child, Adult (age 25-64 years), and Public Benefits — Allegheny County Form SS-3: Request for State-issued Health Care Card Use this form to get a state-issued Health Care Card. Form SS-4: Request for State-issued Identification Use this form to get a state-issued Identification Card. Form SS-4A: Request for State-issued Identification — Affidavit Use this form to request that your child get an Identification Card. Form SS-4B: Request for a Health Care Card — Affidavit Use this form to request a health care card. Form SS-6A: Request for a Disability/Medicaid/Food Stamps Card Form SS-6B: Request for a Disability/Medicaid/Food Stamps Card — Affidavit Use this form to request an identification card for your dependent child.

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