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Most common forms

Below you will find the most common forms used. You may download and print any form from this page and use the table below as a guide to know when the form is used. Most of the forms are available in English and Spanish; however, you should expect to encounter issues with the forms if you use a translator service like Google Translate.

If you need assistance completing any of these forms in a language other than English or Spanish, please contact us (toll free) at 1-877-456-1233, between the hours of 8:00 A.M. and 5:00 P.M. (Mountain Standard Time), Monday through Friday. 

FORM NAME

APPLICATION

RE-EVALUATION

REPORTING A CHANGE


Application for Assistance 

X

   
Application for Re-evaluation:

Interview is Required

Interview is Not Required

 

X

 

Application for Health Coverage Assistance

X

   

Change Report Form

   

X

Dependent Care Charges

X

X

X

Work Verification

X

X

X

Self-Employment Verification:

Sole Proprietorship Standard Expenses

Sole Proprietorship Itemized Expenses

LLC, S-Corp, or Partnership

X

X

X

Termination of Employment

X

X

X

Add a Person



X

Rent Verification

X

 

X