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Most common forms
HW0592SP.pdfApplicationToAddAPersonInternet.pdfBelow 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 8:00A.M. and 5:00P.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    
2015 Advanced Payment of Tax Credit
APTC Form Instructions for use
     
 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