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Department of Health & Human Services Centers for Medicare & Medicaid Services 233 North Michigan Avenue, Suite 600 Chicago, Illinois 606015519September 25, 2018 Kathy Stiffer, Director Michigan Department

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How to fill out hkd waiver renewal application

01

Download the HKD Waiver Renewal Application form from the official website.

02

Fill out the personal information section accurately, including your name, address, and contact details.

03

Provide the necessary details regarding your previous HKD waiver, such as the date of issuance and duration.

04

Attach any supporting documents required for renewal, such as employment or study proof.

05

Double-check all the information provided and make sure it is complete and accurate.

06

Sign and date the application form.

07

Submit the completed application form and supporting documents either online or in-person as per the instructions provided.

Who needs hkd waiver renewal application?

01

Anyone who has previously obtained an HKD waiver and wishes to renew it needs to fill out the HKD Waiver Renewal Application.

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