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information into the eligibility system on the applicant’s behalf, must provide this information to the applicant immediately once it becomes available, by letter or phone if the applicant is not present. However, the application filing date is not established until the completed form is submitted. 5. Voluntary Withdrawal. An applicant may request that an application for Medicaid health coverage be withdrawn at any time either through their secure online account or by submitting the request in writing via the U.S. Mail or fax to the EOHHS or DHS agency or a HSRI representative. Withdrawal of the application may also be made by telephone to the HSRI. The State sends a notice to the applicant verifying the time and date of the voluntary withdrawal and indicating that the applicant may reapply at any time. 3.1.6 Attestation of Application Information A. All questions on the application must be answered in a truthful and accurate manner. Every applicant must self-attest to the truthfulness and accuracy of the question responses and documentation submitted by providing an electronic signature under penalty of perjury. 1. Electronic Matches – Federal, State, and commercially available data sources.The eligibility factors subject to verification and the verification process is located in Part 30-00-5 of this Title. 2. Attestation – Before an application can be submitted, the applicant, or the person/entity acting on the applicant’s behalf, must authenticate by signature that the information provided is genuine, correct, and true. When applying online, the attestation is conducted electronically. An agency or HSRI representative or an authorized application entity must verify that the application was signed (mail application), a voice signature was obtained (telephone application), or that the applicant signed a declaration in- person. The signature provided by the applicant in these instances is an attestation to both the applicant’s identity and the truthfulness and accuracy of the information on the application. There are circumstances when an applicant’s attestations and verification data matches show discrepancies. (See Part 30-00-5 of this Title for the provisions governing reconciliation of such differences). 3.1.7 Privacy of Application Information A. Application information must only be used to determine eligibility and what types of coverage a person is qualified to receive. Accordingly, the State, HSRI, or application entity must maintain the privacy and confidentiality of all application information and in the manner required by applicable Federal and State laws and Regulations and as provided in Part 10-05-1 of this Title.