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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:

• First Steps – Pregnancy Medicaid

• Children’s Health Insurance – Medicaid & S-CHIP
  • 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 Insurance

• Basic Food – Food Stamps

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

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

To request an application be mailed to you, or for more information about the programs, call the 1-866-585-1123.