Family Friendly Application Translations

Last Modified: 09/26/2013

The abbreviated, translated application is intended to be used directly by families and is available in 34 languages. This version of the application has been simplified to include not only the information that families need to complete, but also the instructions to the application, the application, and the form to share information with Medicaid/SCHIP for additional benefits. 


English (.pdf)
Arabic (.pdf)
Armenian (.pdf)
Cambodian (.pdf)
Chinese (Traditional) (.pdf)
Chinese (Simplified) (.pdf)
Croatian (.pdf)
Farsi (.pdf)
French (.pdf)
Greek (.pdf)
Gujarati (.pdf)
Haitian Creole (.pdf)
Hindi (.pdf)
Hmong (.pdf)
Japanese (.pdf)
Korean (.pdf)
Kurdish (.pdf)
Laotian (.pdf)
Mien (.pdf)
Polish (.pdf)
Portuguese (.pdf)
Punjabi (.pdf)
Russian (.pdf)
Samoan (.pdf)
Serbian (.pdf)
Somali (.pdf)
Spanish (.pdf)
Sudanese (.pdf)
Tagalog (.pdf)
Thai (.pdf)
Tigrinya (.pdf)
Ukrainian (.pdf)
Urdu (.pdf)
Vietnamese (.pdf)