Form 114
DWS Application: Food Stamps/Financial & Medical Assistance/Child Care (English)
DWS Application: Food Stamps/Financial & Medical Assistance/Child Care (Spanish)
Employment Termination Form
Medicaid & CHIP Application (English)
Medicaid & CHIP Application (Spanish)
MyCase 114 (English)
MyCase 114 (Spanish)
Employment Information Form
Change of Income Notification (Spanish)
Emergency Medicaid Request by Spouse
Emergency Medicaid Request for New Mother
Employer Will Not Provide Verification
Pending Child Support Payment
Proof of Church Assistance (Spanish)
Reason for No Form 116
Reassessment Request
Recently Moved to Utah
Request for Benefits from Legal Guardian
Request Medicaid for Family Member
Request to Review Average Yearly Income - Spanish
Request to Use Past Year Taxes (Spanish)
Temporary Custody Benefit Request
Termination & Cash Payment Form
Use of Another Person's Bank Account
Medicaid Income Limits 2019
Frequently Used Phone Numbers
Federal Poverty Level Guidelines
Immigrant Eligibility for Medicaid and CHIP and the Marketplace
Healthcare.gov Website
Exemption Forms
Appeal Form
Employer Coverage Tool
The Castle Unit 345 2500 Castle Dr Manhattan, NY
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