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Reimbursement of cell phone expenses

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APPLICATION INFORMATION

medicaid.utah.gov

by phone at 866-435-7414; in person at any DWS office; or fill out this application and return it to: Department of Workforce Services PO Box 143245 . SLC, UT 84114-3245 Page 9 Section K: All Questions. Toll-free Fax: 1-877-313-4717 . Skip page 9 of the application if you are NOT applying for Hospital Presumptive Eligibility or Baby Your Baby.

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