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CP73 April 2013 REVERSE INSTRUCTIONS FOR THE REIMBURSEMENT REQUEST FORM CP73 The REQUEST FOR PAYMENT FROM CHIPS CAPITAL REIMBURSEMENT PROGRAM form CP73 is on the back of these instructions. For unreimbursed expenditures made from a previous SFY CHIPS Capital rollover balance reimbursement eligibility is limited to only those local expenditures actually made within an 18 month period prior to the currently scheduled quarterly payment date specifie...

How to fill out nys chips forms

How to fill out NYS CHIPS forms:

1. Begin by obtaining the necessary forms. You can download them from the NYS CHIPS website or request physical copies from your local social services office.
2. Carefully read the instructions provided with the forms. This will give you a clear understanding of the information and documents required for the application.
3. Start by providing your personal information, including your name, address, contact details, and social security number. Ensure that all information is accurate and up to date.
4. Fill out the sections related to your household composition. This includes listing the names, ages, and relationships of all individuals living with you.
5. Provide detailed information about your income, assets, and expenses. This will help determine your eligibility for the NYS CHIPS program.
6. Include any additional documentation requested, such as proof of income, housing costs, and medical expenses. Be sure to attach copies of these documents to the application.
7. Review the completed forms for any errors or missing information. Make any necessary corrections before submitting the application.
8. Sign and date the forms, certifying that the information provided is true and accurate to the best of your knowledge.
9. Make a copy of the completed application for your records.
10. Submit the forms to your local social services office either in person or by mail, following the instructions provided.

Who needs NYS CHIPS forms:

1. Individuals who are residents of New York State and require health insurance coverage for their children.
2. Families with children who do not qualify for Medicaid and meet the income guidelines set by the NYS CHIPS program.
3. Parents or guardians seeking affordable health insurance options for their children.

It is important to note that eligibility for the NYS CHIPS program may vary based on income, household size, and other factors as determined by the New York State Department of Health. It is recommended to consult the official NYS CHIPS website or contact your local social services office for specific eligibility requirements.

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What is nys chips forms?

NYS CHIPS forms refer to the New York State Consolidated Highway Improvement Program forms, which are used by municipalities to apply for state funding to improve local transportation infrastructure.

Who is required to file nys chips forms?

Municipalities in New York State that wish to receive funding for transportation projects are required to file NYS CHIPS forms.

How to fill out nys chips forms?

To fill out NYS CHIPS forms, municipalities must provide information regarding the project scope, estimated costs, and other required documentation as specified by NYS guidelines.

What is the purpose of nys chips forms?

The purpose of NYS CHIPS forms is to facilitate the request for state funding for highway and transportation improvement projects at the local level.

What information must be reported on nys chips forms?

Information that must be reported on NYS CHIPS forms includes project details, cost estimates, municipality identification, and any relevant supporting documentation.