How to Apply for Services

Services Needed

How to Apply

Food Stamps
Financial Help
Child Care
Medical Help

You can print an application, complete it  and
return it to aDWS office .  It can be mailed, faxed
or dropped off.

Application pdf  (English)
Application pdf (Spanish)

Medicaid / CHIP*
Baby Your Baby

*CHIP only takes application during
an open enrollment period. To find
out if CHIP is currently available click here .

Apply online

You can also request a Medical Application be mailed
to you by calling 1-800-662-9651.

Application pdf (English)
Application pdf (Spanish)

CHIP*
Primary Care Network (PCN)*
Utah's Premium Partnership for Health Insurance (UPP)

*CHIP and PCN are only available during an open
enrollment period.  To find out if CHIP and PCN are
currently available, click on the links below:

• CHIP
• PCN

Apply online

Application pdf (English)
Application pdf (Spanish)