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ALTERNATIVE RESPONSE SAFETY SUPPORT AGREEMENT NORTH DAKOTA DEPARTMENT OF HUMAN SERVICES CHILDREN AND FAMILY SERVICES SON 497 (102017)Clear Fieldsman(s) Name(s)Safety Support Name AddressTelephone

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What is application for health care?

Application for health care is a form that individuals need to fill out in order to apply for health care coverage or benefits.

Who is required to file application for health care?

Anyone who is in need of health care coverage or benefits may be required to file an application for health care.

How to fill out application for health care?

To fill out an application for health care, individuals need to provide personal information, income details, household size, and other relevant information as requested on the form.

What is the purpose of application for health care?

The purpose of the application for health care is to determine eligibility for health care coverage or benefits, and to assess the individual's need for assistance.

What information must be reported on application for health care?

Information such as personal details, income, household size, medical history, and other relevant information may need to be reported on the application for health care.

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