NJCK Initial Application Status Form

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This inquiry form is to check the status of Initial Applications only. If you need to check the status of a redetermination, please reach out to your case manager directly.

Please allow up to 48 business hours for a response from a member of our Intake department.

Thank you.

Application Submission Number

Applicant(Parent) Name *

First

Last

Co-Applicant Name (If Applicable)

First

Last

Additional/Other Names Used

Home Phone Number

Cell Phone Number

Email *

Preferred Method of Contact *EmailHome PhoneCell Phone

Date Application Submitted

Additional Comments

Please use this to enter any additional information we need to know about your application, including the dates of additional documentation was submitted.

Submit