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NWAB Medical Assistance & Burial Assistance Applications (Borough-level)

Provided by Northwest Arctic Borough ›

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Northwest Arctic BoroughKotzebue
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NWAB Medical Assistance & Burial Assistance Applications (Borough-level)

In addition to tribal (IRA) and Maniilaq burial/medical assistance, the Northwest Arctic Borough itself publishes a Medical Assistance Application and a Burial Assistance Application on its Forms page. Call the Borough at 907-442-2500 (toll-free 800-478-1110) to ask which program fits your situation before applying, since eligibility rules differ by administering agency.

Next stepMedical Assistance Application
Where163 Lagoon Street, Kotzebue, AK 99752

Who it’s for

Verify with Borough staff

This is what the program lists. Only the provider can say whether you qualify.

What to bring isn’t listed. Check with the provider before you start.

Provider information

View official informationOpen Burial Assistance Application · PDF

Questions to ask

Who can get this, and what should I bring?

Which application or form fits my situation?

Opening a PDF does not submit it. Ask the provider how to return the completed form and confirm receipt.

After you contact them

Ask the provider how to confirm receipt and when to follow up. A response time is not listed here.

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Open Medical Assistance Application · PDF
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