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A 20172018 Health Verification Form
DO NOT SUBMIT THIS FORM UNLESS YOU ARE SELECTED FOR A
SPECIFIC ENGLISH LANGUAGE FELLOW PROJECT
To Selected Candidates:
This Health Verification Form (HF), completed
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What is a health verification form?
A health verification form is a document used to report an individual's current health status.
Who is required to file a health verification form?
Individuals who are applying for certain programs or benefits may be required to file a health verification form.
How to fill out a health verification form?
To fill out a health verification form, you will need to provide information about your current health status and any relevant medical history.
What is the purpose of a health verification form?
The purpose of a health verification form is to assess an individual's health status and determine eligibility for certain programs or benefits.
What information must be reported on a health verification form?
Information that may be required on a health verification form includes current health status, medical history, and any medications being taken.
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