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Title 5: Centrally Administered Programs Page 13 Iowa Department of Human Services Employees’ Manual Chapter E: Healthy and Well Kids in Iowa (hawk-i) Application Processing Revised July 3, 2009 Application Form Where the Application Can Be Filed Legal reference: 441 IAC 86.3(3) An application for the hawk-i program may be accepted: ♦ Electronically via the hawk-i website at www.hawk-i.org. ♦ By the TPA responsible for making the eligibility determination. ♦ By any office of the Iowa Department of Human Services. The addresses to which an application should be directed are: Mail: An application may be mailed in the envelope attached to the application. If an envelope is not present, the application should be mailed to: The hawk-i Program PO Box 71336 Des Moines, Iowa 50325-9958 Fax: An application may be faxed to: 1-877-457-7701 or 515-457-7701. In person: An application can also be delivered in person to: The hawk-i Program 1601 48th St, Suite 100 West Des Moines, Iowa Any application not filed directly with the TPA or via the website will be forwarded to the third-party administrator for processing. See Date of Application for more information. Date of Application Legal reference: 441 IAC 86.3(4) The day a valid application is received by the third-party administrator or by any Department of Human Services office is the filing date. The filing date of an application determines the effective date of coverage. A valid application is one that has a legible name, address, and signature. A faxed application with a legible name, address, and signature is considered a valid application and the original signature is not required.