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Get the free CHIP bApplicationb-Spanish versionABChip-2 - Capital Blue Cross

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Solicited para la Overture de Cuidado de Salud If you would like a copy of this application in Spanish, please call us at 18005437101, Monday through Friday, 8 a.m. to 6 p.m. TTY users should call
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chip-2 is a digital application form for the CHIP program in Spanish version.
Parents or guardians of children who are applying for the CHIP program are required to fill out chip-2 in Spanish version.
To fill out chip-2 in Spanish version, parents or guardians need to provide accurate and complete information about the child applying for the CHIP program.
The purpose of chip-2 in Spanish version is to collect necessary information from parents or guardians to determine eligibility for the CHIP program.
Information such as household income, family size, and child's basic information must be reported on chip-2 in Spanish version.
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