Applying is easy — simply complete the online application or download, print, complete and mail a paper application.

English Application

•	Standard CoverKids English Application
•	CoverKids English Supplemental Page
•	CoverKids English Provider's Statement
•	CoverKids English Checklist

Aplicacion en espanol

•	Aplicationes normas en espanol para CoverKids
•	Pagina adicional en espanol para CoverKids
•	Declaracion del proveedor en espanol de CoverKids
•	Lista de verificacion en espanol de CoverKids

All applicants for CoverKids will automatically be screened for TennCare eligibility or eligibility for other state-sponsored insurance.

Application assistance for CoverKids is available at nine Community Service Agencies across the state. To see which Community Service Agency covers your area, check this map.

Applications are also available statewide through local Human Resource Agency offices. For regional contact information or to locate the HRA office in your county, check this map.