<!DOCTYPE html> <html lang="en"> <meta charset="utf-8"> <head> <title>Application forms for individuals & families | Marketplace.CMS.Gov</title> <meta name="viewport" content="width=device-width, initial-scale=1.0"> <meta name="description" content="" /> <!-- Fav and touch icons --> <link rel="apple-touch-icon-precomposed" sizes="144x144" href="../resources/images/icons/HIM-favicon-114px.ico"> <link rel="apple-touch-icon-precomposed" sizes="114x114" href="../resources/images/icons/HIM-favicon-114px.ico"> <link rel="apple-touch-icon-precomposed" sizes="72x72" href="https://marketplace.cms.gov/resources/images/icons/HIM-favicon-72px.ico"> <link rel="apple-touch-icon-precomposed" href="../resources/images/icons/HIM-favicon-32px.ico"> <link rel="shortcut icon" href="../resources/images/icons/HIM-favicon-16px.ico"> <link href="https://assets.cms.gov/resources/global/css/lib/bootstrap.css" rel="stylesheet" type="text/css"> <link 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individuals & families </h1> <div class="callout"></div> <ul> <li>Family <ul> <li><a href="marketplace-application-for-family.pdf">English</a></li> <li><a href="marketplace-consumer-application-family-spanish.PDF">Spanish</a></li> <li><a href="marketplace-application-for-family-large-print.pdf">English</a> (large print)</li> </ul> </li> <li>Family instructions <ul> <li><a href="marketplace-application-for-family-instructions.pdf">English</a></li> <li><a href="marketplace-consumer-application-family-instructions-spanish.pdf">Spanish</a></li> <li><a href="family-form-instructions-large-print.pdf">English</a> (large print)</li> </ul> </li> <li>Individual short form <ul> <li><a href="individual-short-form.pdf">English</a></li> <li><a href="individual-short-form-spanish.PDF">Spanish</a></li> </ul> </li> <li>Individual short form instructions <ul> <li><a href="individual-short-form-instructions.pdf">English</a></li> <li><a href="individual-short-form-instructions-spanish.pdf">Spanish</a></li> </ul> </li> <li>Individual without financial assistance <ul> <li><a href="marketplace-application-without-financial-assistance.pdf">English</a></li> <li><a href="marketplace-application-without-financial-assistance-spanish.PDF">Spanish</a></li> </ul> </li> <li>Individual without financial assistance instructions <ul> <li><a href="marketplace-application-without-financial-assistance-instructions.pdf">English</a></li> <li><a href="marketplace-application-without-financial-assistance-instructions-spanish.pdf">Spanish</a></li> </ul> </li> <li><a href="extra-person-pages.pdf">Extra person pages</a></li> <li>Employer Coverage Tool <ul> <li><a href="employer-coverage-tool.pdf">English</a></li> <li><a href="employer-coverage-tool-spanish-version.pdf">Spanish</a></li> </ul> </li> </ul> <h4>Family application job aids in other languages </h4> <ul> <li><a href="marketplace-consumer-application-family-albanian.pdf">Albanian</a></li> <li><a href="https://marketplace.cms.gov/applications-and-forms/marketplace-consumer-application-family-&ndash;-amharic.pdf">Amharic</a></li> <li><a href="marketplace-consumer-application-arabic.pdf">Arabic</a> </li> <li><a href="marketplace-consumer-application-bengali.pdf">Bengali</a></li> <li><a href="marketplace-consumer-application-family-bosnian.pdf">Bosnian</a></li> <li><a href="marketplace-consumer-application-family-burmese.pdf">Burmese</a></li> <li><a href="marketplace-consumer-application-family-chin.pdf">Chin</a></li> <li><a href="marketplace-consumer-application-family-chinese.pdf">Chinese</a></li> <li><a href="marketplace-consumer-application-family-creole.pdf">Creole</a></li> <li><a href="marketplace-consumer-application-family-farsi.pdf">Farsi</a></li> <li><a href="marketplace-consumer-application-french.pdf">French</a></li> <li><a href="marketplace-consumer-application-family-german.pdf">German</a></li> <li><a href="https://marketplace.cms.gov/applications-and-forms/marketplace-consumer-application-family-&ndash;-gujarati.pdf">Gujarati</a></li> <li><a href="marketplace-consumer-application-hindi.pdf">Hindi</a></li> <li><a href="marketplace-consumer-application-karen.pdf">Karen</a></li> <li><a href="marketplace-consumer-application-family-kayah.pdf">Kayah</a></li> <li><a href="marketplace-consumer-application-family-khmer.pdf">Khmer</a></li> <li><a href="marketplace-consumer-application-family-kinyarwanda.pdf">Kinyarwanda</a></li> <li><a href="marketplace-consumer-application-family-korean.pdf">Korean</a></li> <li><a href="marketplace-consumer-application-nepali.pdf">Nepali</a></li> <li><a href="marketplace-consumer-application-family-polish.pdf">Polish</a></li> <li><a href="marketplace-consumer-application-family-portugese.pdf">Portuguese</a></li> <li><a href="marketplace-consumer-application-family-punjabi.pdf">Punjabi</a></li> <li><a href="marketplace-consumer-application-family-romanian.pdf">Romanian</a></li> <li><a href="marketplace-consumer-application-family-russian.pdf">Russian</a></li> <li><a href="marketplace-consumer-application-family-somali.pdf">Somali</a></li> <li><a href="marketplace-consumer-application-family-swahili.pdf">Swahili</a></li> <li><a href="marketplace-consumer-application-family-tagalog.pdf">Tagalog</a></li> <li><a href="marketplace-consumer-application-family-thai.pdf">Thai</a></li> <li><a href="marketplace-consumer-application-family-tibetan.pdf">Tibetan</a></li> <li><a href="marketplace-consumer-application-tigrinya.pdf">Tigrinya</a></li> <li><a href="marketplace-consumer-application-family-urdu.pdf">Urdu</a></li> <li><a href="marketplace-consumer-application-family-vietnamese.pdf">Vietnamese</a></li> </ul> <div class="downloads"> <div class="row-fluid show-grid"> </div> </div> </div> <div class="span2"> 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