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Non-Tribal members are not eligible for services. Vendor/Provider Name Applications are approved on a case by case basis. Services may include tooth repair dental fillings dentures or emergency services. Routine dental exams and cleaning are not covered. Payment will be made to vendor and not the tribal member. Emergency applications are considered as received. Any tribal member purposely attempting to defraud the committee will be ineligible for any community service program for a period of...

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What is dental assistance application form?

The dental assistance application form is a document used to apply for financial aid for dental procedures.

Who is required to file dental assistance application form?

Individuals who are in need of financial assistance for dental procedures are required to file the dental assistance application form.

How to fill out dental assistance application form?

To fill out the dental assistance application form, applicants must provide personal information, income details, dental procedure needed, and any other relevant information requested on the form.

What is the purpose of dental assistance application form?

The purpose of the dental assistance application form is to determine eligibility for financial aid for dental procedures.

What information must be reported on dental assistance application form?

Information such as personal details, income, expenses, dental procedure needed, and any other relevant information must be reported on the dental assistance application form.

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