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| Assigned number | Title | Release date Sort ascending | Language | Available to order |
|---|---|---|---|---|
| F-10112 | Medicaid Disability Application (PDF) | 02/20/2026 | English | Yes |
| F-10112H | Medicaid Disability Application, Hmong (PDF) | 02/20/2026 | Hmong | No |
| F-10112S | Medicaid Disability Application, Spanish (PDF) | 02/20/2026 | Spanish | No |
