| Assigned Number |
Title |
Version Date | Publication Type | Other Location | Language |
|---|---|---|---|---|---|
| F-00221 | Family Care / IRIS Member Requested Disenrollment or Transfer and Instructions | January 29, 2021 |
Word
|
None | English |
| F-00221 | Family Care / IRIS Member Requested Disenrollment or Transfer and Instructions, Arabic | January 29, 2021 |
Word
|
None | Arabic |
| F-00221 | Family Care / IRIS Member Requested Disenrollment or Transfer and Instructions, Chinese (Mandarin) | January 29, 2021 |
Word
|
None | Chinese Mandarin |
| F-00221 | Family Care / IRIS Member Requested Disenrollment or Transfer and Instructions, DocuSign | January 29, 2021 | None | English | |
| F-00221 | Family Care / IRIS Member Requested Disenrollment or Transfer and Instructions, Hmong | January 29, 2021 |
Word
|
None | Hmong |
| F-00221 | Family Care / IRIS Member Requested Disenrollment or Transfer and Instructions, Laotian | January 29, 2021 |
Word
|
None | Laotian |
| F-00221 | Family Care / IRIS Member Requested Disenrollment or Transfer and Instructions, Large Print | January 29, 2021 |
Word
|
None | English |
| F-00221 | Family Care / IRIS Member Requested Disenrollment or Transfer and Instructions, Russian | January 29, 2021 |
Word
|
None | Russian |
| F-00221 | Family Care / IRIS Member Requested Disenrollment or Transfer and Instructions, Serbo-Croatian | January 29, 2021 |
Word
|
None | |
| F-00221 | Family Care / IRIS Member Requested Disenrollment or Transfer and Instructions, Somali | January 29, 2021 |
Word
|
None | Somali |
| F-00221 | Family Care / IRIS Member Requested Disenrollment or Transfer and Instructions, Spanish | January 29, 2021 |
Word
|
None | Spanish |
Last Revised: February 17, 2021
