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CUPRIC H I L D & PA R E N T RESOURCE INSTITUTER Referral Form Historical/Current INFORMATIONPlease complete ALL SECTIONSNOTE: This information will be shared with CPI staff as required FAMILY/GUARDIAN

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Begin by entering your personal information such as name, date of birth, and contact details.

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Who needs c h i l?

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People who are applying for certain types of visas or immigration benefits and are required to provide their personal and background information need to fill out c h i l. This form is commonly needed by individuals seeking to enter or stay in a country legally.

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What is c h i l?

c h i l stands for Child Health Insurance Program.

Who is required to file c h i l?

Parents or legal guardians of eligible children are required to file for c h i l.

How to fill out c h i l?

To fill out c h i l, you can visit the official website or contact your state's healthcare department for assistance.

What is the purpose of c h i l?

The purpose of c h i l is to provide health insurance coverage for children from low-income families.

What information must be reported on c h i l?

Information such as household income, number of family members, and children's health insurance status must be reported on c h i l.

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