application for medicaid

application for medicaid

[your address]
[date]

Dear Head,
[Name of Department/Institution]
[Address of Department/Institution]

Dear Sir,

I am a citizen of [your name]. I request to receive Medicaid benefits through this application.

The following application is submitted by submitting the attested copy of my identity card, last pay slip, and photocopies of other necessary documents.

Medicaid coverage is important to me and other members of my family. I assume responsibility for the accuracy of the information provided by me.

Thanks.

Blessings and prayers,

[Your Name]
[Your Expectation]

application for medicaid

[your address] [date]

Dear Head, [Name of Department/Institution] [Address of Department/Institution]

Dear Sir,

I want to make an application for [your name] citizen number [identity card number] based on my economic status. According to my family and financial situation I want to get Medicaid facility.

I beg your Excellency to expedite my request.

I hope you will consider my request.

Thanks.

Blessings and prayers,

[Your Name]
[Your Expectation]

application for medicaid

[your address] [date]

Dear Head, [Name of Department/Institution] [Address of Department/Institution]

Dear Sir,

I am a citizen of [your name] and my economic situation is not good. I am asking for your help so I can get Medicaid benefits.

I will provide you with application information as per your requirement. I hope you will consider my request soon.

Thanks.

Blessings and prayers,

[Your Name]
[Your Expectation]