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How to apply.

The hawk-i application is easy to fill out. 

To fill out an application from your computer, click here.

To download an application to print, click here. (This form requires the Adobe Acrobat Reader®), or you can call hawk-i Customer Service at 1-800-257-8563 and ask that an application be mailed to you.

Be sure to sign the application and attach proof of income. 

Please note:  The form should be mailed to:
hawk-i Program
PO Box 71336
Des Moines, IA 50325-9958

You can also fax the form to : 1-877-457-7701 or 1-515-457-7701.

If you do not have  Adobe Acrobat Reader®, you can download it for free by clicking here.

Call us at 1-800-257-8563, Mon to Fri, 8am to 7pm
TDD:  1-515-457-8051 or 1-888-422-2319

What health plans are offered?How much do I pay?Do my kids qualify?What services can my kids get?How can I keep my kids healthy?How do I apply?