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Application Instructions

Two ways to apply for CHIP using the downloadable application form

  1. Download the application form, print it out, fill it in by hand, sign the application, and mail or fax it to the address/fax number on the application.

  2. Enter the information directly into the application on your computer, print it out, sign the application, and mail it to the address on the application.

MS Word version of CHIP application

The Word version of the CHIP application is set up as a form which can be completed electronically. Pressing the tab key will move you from field to field. Once the application is completed, print the application, sign it and mail or fax it to the address/fax number on the application.

If you have MS Word installed on your computer, you can save and print the CHIP application form by:

Right clicking on the link below and select "save target as." Choose the location where you would like to save the application file and select "save."

DOWNLOAD WORD VERSION

PDF version of CHIP application

When opening the PDF application form, you may get a message telling you to upgrade the Adobe Acrobat software. Disregard this message. Just click on OK or hit the enter key.

IMPORTANT NOTICE: The information entered into the PDF file cannot be saved. Upon completion, the form must be printed out, signed, and mailed to the address on the application. If you have the application partially completed, print it out to "save" what you have entered. Fill in any additional information by hand, if necessary. If you close the PDF file and don't print out what you have entered, your information will be lost.

When filling out the application on your computer, you can use the following tools.

  • Click on a field with your mouse to select the field. A cursor will appear and you can type in your information.

  • The Tab key will move you forward from field to field. Shift+Tab key will move you backwards from field to field.

  • Delete an entry by highlighting the information and pressing delete, backspace, or just type over the highlighted information.

  • Checkboxes can be checked by clicking on the box with your mouse or by selecting the box and pressing the Enter key or space bar. (Hitting the Enter key or space bar again will remove the checkmark.)

  • Standard Windows-based commands will work in the PDF file: Control+C will copy; Control+V will paste; and Control+X will cut.

The following tools only work when the cursor is not in a field.

  • Arrow keys right and left move page to page through the document. Arrow keys up and down scroll through the document.

  • The Enter key will move you through the document a half-page at a time.

DOWNLOAD PDF VERSION