![]() The application process may require additional forms to be completed. The supplemental Designated Authorized Representative and Spouse Information forms must be submitted with your application, if applicable to your situation.ĭownload Adobe Acrobat Reader in order to correctly view and print PDF files. If you prefer to have help applying, call your local County Welfare Agency. An in-person interview at the County Welfare Agency is not required to apply. Table 5.You can also print the application below, then complete it and mail it in.Table 5.3 – Numbers & Rates of Reported Acute Hepatitis B & C.Table 5.2 – Acute & Chronic Hepatitis C Cases.Table 5.1 – Acute Viral Hepatitis Cases.Figure 5.1 – Reported Acute Hepatitis B & C Cases.Figure 4.1 – Outcomes by Birth Cohort Year.Perinatal Hepatitis B Prevention Program plus icon.Table 3.8 – Death Rates by Demographics.Table 3.7 – Death Rates by Jurisdiction.Table 3.6 – Chronic – Case Rates by Demographics.Table 3.5 – Chronic – Case Rates by Jurisdiction.Table 3.4 – Perinatal – Cases by Jurisdiction.Table 3.3 – Acute – Infection Risk Behaviors.Table 3.2 – Acute – Cases & Rates by Demographics.Table 3.1 – Acute – Number & Rates of Cases.Figure 3.8 – Chronic – Case Rates by Sex & Age.Figure 3.7 – Acute – Infection Risk Behaviors.Figure 3.6 – Acute – Case Rates by Race & Ethnicity.Figure 3.4 – Acute – Case Rates by Age Group.Figure 3.2 – Acute – Case Rates by Jurisdiction. ![]() Table 2.8 – Death Rates by Demographics.Table 2.7 – Death Rates by Jurisdiction.Table 2.6 – Chronic – Case Rates by Demographics. ![]()
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