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Applications

Complete Applications Using the Benefit Finder:

A quick and easy way to apply for programs is to use the Benefit Finder. It saves you time by helping you learn which programs you may qualify for, and helps you fill out applications on-line. However, if you would like to print a blank copy of the applications and fill them out by hand, click on the applications below.

Print Blank Applications:

Completed applications can be sent to your local DSHS office or call center. For the Basic Health Program, submit to the address listed on the application.

• First Steps (Pregnancy Medical).

• Children’s Health Insurance (also called the medical coupon)
  • You may need to complete a Citizenship form along with the Children’s Health Insurance application.
  • Learn more to determine if you need to complete the Citizenship form.
  • If your children are non-citizens, use the Children’s Health Program Application to apply for health insurance.

• Basic Health

• Basic Food Program (Food Stamps)

• WIC
  • There is no application for WIC. Use the WIC Search Tool to find your local WIC office.

To request an application be mailed to you, or for more information about the programs, call the ParentHelp123 Hotline at 1-866-585-1123. To complete an application on-line, use the Benefit Finder.