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Medicaid Application Checklist

Medicaid Application Checklist
A printable Medicaid Application Checklist you can customize. Edit Checklist Print Checklist

Medicaid Application Checklist

  Resources

  ____ Property taxes for past year

  ____ Bank Statements

  ____ Life Insurance Policy

  ____ Stocks, Bonds, CDs, Trusts

  ____ Social Security Card

  ____ Birth Certificate

  ____ Burial Contract/Plan

  ____ Vehicle Registration

  Income Verification

  ____ Social Security

  ____ Veterans Administration

  ____ Pensions

  ____ Interest

  ____ Income from Mortgages

NOTES

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This checklist was created by James on February 13, 2008

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