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Title of Rule: Revision to the Child Health Plan Plus Program Rule concerning Verified Information at Renewal, Section 140 Rule Number: CHP 221208B Division / Contact / Phone: Office of Medicaid Operations
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Obtain a copy of the revision to form child from the relevant authority or website.
02
Fill in your child's full name at the top of the form.
03
Provide the current address of the child as required.
04
Input the details of the original form that is being revised, such as date and reference number.
05
Clearly state the reasons for the revision in the designated section.
06
Include any necessary supporting documents that justify the revision.
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Review all information for accuracy and completeness.
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Individuals seeking to update personal details related to custody, residency, or legal matters regarding a child.
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Revision to form child refers to the process of updating or correcting a previously submitted form related to a child, ensuring that all information is accurate and current.
Parents or guardians of the child, as well as authorized representatives, are typically required to file a revision to form child if there are changes or corrections needed.
To fill out a revision to form child, one should obtain the correct form, provide the necessary updated information, clearly indicate the changes being made, and submit it according to the specified guidelines.
The purpose of revision to form child is to ensure that any changes in circumstances, such as a change of address or custody status, are officially recorded to maintain accurate records.
Information that must be reported includes the child's current and previous information, details of the changes being made, and any pertinent documentation that supports the revision.
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