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FOR BHF USELL1
2015
STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2015)I.DPH License ID Number:
Facility
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How to fill out am i eligible
01
Step 1: Start by visiting the 'Am I Eligible' website.
02
Step 2: Select the type of eligibility you want to check, such as for a specific program or benefit.
03
Step 3: Follow the instructions provided on the website to input your relevant information.
04
Step 4: Provide accurate details about your age, income, location, and any other required information.
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Step 5: Double-check all the information you have provided to ensure it is correct.
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Step 6: Submit the form or questionnaire after completing all the necessary fields.
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Step 7: Wait for the results or eligibility determination, which will typically be displayed on the website or sent to you via email.
08
Step 8: Review the eligibility determination and take any necessary actions based on the results.
Who needs am i eligible?
01
Individuals who are uncertain about their eligibility for a specific program or benefit.
02
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Anyone who wants to clarify their eligibility status before applying for a program or benefit.
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What is am i eligible?
AM I ELIGIBLE is a tool used to determine eligibility for certain programs or benefits.
Who is required to file am i eligible?
Individuals who are seeking to determine their eligibility for specific programs or benefits may be required to use the AM I ELIGIBLE tool.
How to fill out am i eligible?
To fill out the AM I ELIGIBLE tool, individuals must provide information about their personal circumstances and relevant criteria for the program or benefit they are applying for.
What is the purpose of am i eligible?
The purpose of AM I ELIGIBLE is to streamline the eligibility determination process for programs and benefits by providing a standardized tool for individuals to use.
What information must be reported on am i eligible?
The information required on AM I ELIGIBLE may vary depending on the specific program or benefit being assessed, but generally includes personal information, income, household size, and other relevant criteria.
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