How to Apply for Services

Services Needed

How to Apply

Food Stamps *
Financial Help *
Child Care *

* Click here for the Pre-Screening tool
(this tool will help you decide if you are potentionally
eligible for Financial, Food Stamps and Child Care)

Apply online

If you prefer, you can print an application, complete it and
return it to a DWS office . It can be mailed, faxed
or dropped off.

Application pdf (English)
Application pdf (Spanish)

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

*PCN is only available during an open
enrollment period. To find out if PCN is
currently available, click here.

Apply online

Application pdf (English)
Application pdf (Spanish)

All of these application forms are also available in the local Department of Workforce Services offices.

Click here for the alta Vista Language Translator site. Oprime aqui para el sitio del traductor del lenguaje de Alta Vista.
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