Application with Financial Help
PDF · www.coveredca.com · 36 pages · 1364 fields
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Form: UNKNOWN · Issuer: www.coveredca.com · Format: pdf · Pages: 36 · Fillable fields: 1364 · Languages: en · Version: PDF last modified 2021-07-12
The file · the JSON object · every form at www.coveredca.com
Every field
| n | label | data type | pdf kind | pdf name |
|---|---|---|---|---|
| 1 | Español | string | text | Español |
| 2 | 1-800-300-0213 | string | text | 18003000213 |
| 3 | las kho mob los ntawm Covered California | string | text | las kho mob los ntawm Covered California |
| 4 | is taws nej | string | text | is taws nej |
| 5 | Koj li kev pab cuam mam xa daim ntawv qhia nqe rau tus nqi koj tshuav | string | text | Koj li kev pab cuam mam xa daim ntawv qhia nqe rau tus nqi koj tshuav |
| 6 | Lub npe | string | text | Lub npe |
| 7 | Zos (tsev chaw nyob) | string | text | Zos tsev chaw nyob |
| 8 | Xeev | string | text | Xeev |
| 9 | Zij khauj | string | text | Zij khauj |
| 10 | Lub nroog | string | text | Lub nroog |
| 11 | Khij no yog tias koj tsis muaj ib qhov chaw nyob tom tsev. Koj yuav tsum muab rau peb lub chaw nyob hauv qab no | boolean | checkbox | Khij no yog tias koj tsis muaj ib qhov chaw nyob tom tsev Koj yuav tsum muab rau peb lub chaw nyob hauv qab no |
| 12 | Khij no yog tias koj qhov chaw nyob yog tib yam li qhov chaw nyob tom tsev | boolean | checkbox | Khij no yog tias koj qhov chaw nyob yog tib yam li qhov chaw nyob tom tsev |
| 13 | Zos (chaw nyob xa ntawv) | string | text | Zos chaw nyob xa ntawv |
| 14 | Xeev | string | text | Xeev_2 |
| 15 | Zij khauj | string | text | Zij khauj_2 |
| 16 | Lub nroog | string | text | Lub nroog_2 |
| 17 | Tsev | boolean | checkbox | Tsev |
| 18 | Xov tooj ntawm tes | boolean | checkbox | Xov tooj ntawm tes |
| 19 | Hauj lwm | boolean | checkbox | Hauj lwm |
| 20 | Tsev | boolean | checkbox | Tsev_2 |
| 21 | Xov tooj ntawm tes | boolean | checkbox | Xov tooj ntawm tes_2 |
| 22 | Hauj lwm | boolean | checkbox | Hauj lwm_2 |
| 23 | Peb yuav sau hom lus dab tsi rau koj? | string | text | Peb yuav sau hom lus dab tsi rau koj |
| 24 | Koj xav kom peb tham nrog koj hauv hom lus dab tsi? | string | text | Koj xav kom peb tham nrog koj hauv hom lus dab tsi |
| 25 | Xov tooj | boolean | checkbox | Xov tooj |
| 26 | Xa ntawv | boolean | checkbox | Xa ntawv |
| 27 | boolean | checkbox | ||
| 28 | Email chaw nyob | string | text | Email chaw nyob |
| 29 | yog ua daim ntawv hauv qab no | string | text | yog ua daim ntawv hauv qab no |
| 30 | Yog | boolean | checkbox | Yog |
| 31 | Tsis Yog | boolean | checkbox | Tsis Yog |
| 32 | Yog | boolean | checkbox | Yog_2 |
| 33 | Tsis Yog | boolean | checkbox | Tsis Yog_2 |
| 34 | Yog | boolean | checkbox | Yog_3 |
| 35 | Tsis Yog | boolean | checkbox | Tsis Yog_3 |
| 36 | Yog yog, tus me nyuam niam puas teev ntawm daim ntawv thov no | string | text | Yog yog tus me nyuam niam puas teev ntawm daim ntawv thov no |
| 37 | ntawm daim ntawv thov no | string | text | ntawm daim ntawv thov no |
| 38 | undefined | string | text | undefined |
| 39 | Thov qhia leej niam tus Medi-Cal naj npawb, AIM number, los yog SSN | string | text | Thov qhia leej niam tus MediCal naj npawb AIM number los yog SSN |
| 40 | Lub npe Npe nruab nrab Lub xeem Cov tsiaj ntawv tom qab (piv txwv: Sr., Jr., III, IV) | string | text | Lub npe Npe nruab nrab Lub xeem Cov tsiaj ntawv tom qab piv txwv Sr Jr III IV |
| 41 | Koj puas yog: Txiv neej Poj niam | string | text | Koj puas yog Txiv neej Poj niam |
| 42 | undefined | boolean | checkbox | undefined_2 |
| 43 | undefined | boolean | checkbox | undefined_3 |
| 44 | Ib leeg | boolean | checkbox | Ib leeg |
| 45 | Tsis tau sib yuav li | boolean | checkbox | Tsis tau sib yuav li |
| 46 | Sib yuav | boolean | checkbox | Sib yuav |
| 47 | Sib nrauj | boolean | checkbox | Sib nrauj |
| 48 | Muaj npe uas khwv | boolean | checkbox | Muaj npe uas khwv |
| 49 | Poj cuam | boolean | checkbox | Poj cuam |
| 50 | Hnub yug (hli / hnub /xyoo) | string | text | Hnub yug hli hnub xyoo |
| 51 | Yog | boolean | checkbox | Yog_4 |
| 52 | Tsis Yog | boolean | checkbox | Tsis Yog_4 |
| 53 | Yog yog, muaj pes tsawg tus me nyuam yuav tau | string | text | Yog yog muaj pes tsawg tus me nyuam yuav tau |
| 54 | Hnub uas yuav los yug | string | text | Hnub uas yuav los yug |
| 55 | Yog | boolean | checkbox | Yog_5 |
| 56 | Tsis Yog | boolean | checkbox | Tsis Yog_5 |
| 57 | Tsis Yog | boolean | checkbox | Tsis Yog_6 |
| 58 | Yog hais tias kuv tsis muaj ib tug SSN, yog vim li cas | string | text | Yog hais tias kuv tsis muaj ib tug SSN yog vim li cas |
| 59 | undefined | string | text | undefined_4 |
| 60 | undefined | string | text | undefined_5 |
| 61 | undefined | string | text | undefined_6 |
| 62 | Adoption Taxpayer Identification Number (ATIN | boolean | checkbox | Adoption Taxpayer Identification Number ATIN |
| 63 | Individual Taxpayer Identification Number (ITIN | boolean | checkbox | Individual Taxpayer Identification Number ITIN |
| 64 | Kev ntseeg zam | boolean | checkbox | Kev ntseeg zam |
| 65 | undefined | string | text | undefined_7 |
| 66 | Kuv txais tsis tau ib tug SSN | boolean | checkbox | Kuv txais tsis tau ib tug SSN |
| 67 | Yog | boolean | checkbox | Yog_6 |
| 68 | Tsis Yog | boolean | checkbox | Tsis Yog_7 |
| 69 | Yog | boolean | checkbox | Yog_7 |
| 70 | Tsis Yog | boolean | checkbox | Tsis Yog_8 |
| 71 | Yog | boolean | checkbox | Yog_8 |
| 72 | Tsis Yog | boolean | checkbox | Tsis Yog_9 |
| 73 | daim ntawv pab | string | text | daim ntawv pab |
| 74 | Tus loj ntawd tsev neej | boolean | checkbox | Tus loj ntawd tsev neej |
| 75 | Txwaj nkawg ua ke | boolean | checkbox | Txwaj nkawg ua ke |
| 76 | Tus neeg | boolean | checkbox | Tus neeg |
| 77 | Tus neej no yog ib tug niam txiv tsis tau tus me nyuam uas tsis teev ntawd | boolean | checkbox | Tus neej no yog ib tug niam txiv tsis tau tus me nyuam uas tsis teev ntawd |
| 78 | Tus neeg no yog ib tug niam txiv tsis tau me nyuam | boolean | checkbox | Tus neeg no yog ib tug niam txiv tsis tau me nyuam |
| 79 | Ib leej | boolean | checkbox | Ib leej |
| 80 | Txwaj nkaug nyia ua nyia | boolean | checkbox | Txwaj nkaug nyia ua nyia |
| 81 | Yog | boolean | checkbox | Yog_9 |
| 82 | Tsis Yog | boolean | checkbox | Tsis Yog_10 |
| 83 | Yog | boolean | checkbox | Yog_10 |
| 84 | Tsis Yog | boolean | checkbox | Tsis Yog_11 |
| 85 | Yog | boolean | checkbox | Yog_11 |
| 86 | Tsis Yog | boolean | checkbox | Tsis Yog_12 |
| 87 | Yog | boolean | checkbox | Yog_12 |
| 88 | Tsis Yog | boolean | checkbox | Tsis Yog_13 |
| 89 | Yog | boolean | checkbox | Yog_13 |
| 90 | Ntaub ntawv hom dab tsi | string | text | Ntaub ntawv hom dab tsi |
| 91 | ID naj npawb | string | text | ID naj npawb |
| 92 | Teb chaws nyob los | string | text | Teb chaws nyob los |
| 93 | Hnub tas kas nuv | string | text | Hnub tas kas nuv |
| 94 | Lub npe raws li nws tshwm rau ntawm daim ntawv | string | text | Lub npe raws li nws tshwm rau ntawm daim ntawv |
| 95 | Yog | boolean | checkbox | Yog_14 |
| 96 | Tsis Yog | boolean | checkbox | Tsis Yog_14 |
| 97 | Yog | boolean | checkbox | Yog_15 |
| 98 | Tsis Yog | boolean | checkbox | Tsis Yog_15 |
| 99 | Yog | boolean | checkbox | Yog_16 |
| 100 | Tsis Yog | boolean | checkbox | Tsis Yog_16 |
| 101 | Yog | boolean | checkbox | Yog_17 |
| 102 | Tsis Yog | boolean | checkbox | Tsis Yog_17 |
| 103 | Yog | boolean | checkbox | Yog_18 |
| 104 | Yog | boolean | checkbox | Yog_19 |
| 105 | Tsis Yog | boolean | checkbox | Tsis Yog_18 |
| 106 | Tsis Yog | boolean | checkbox | Tsis Yog_19 |
| 107 | Yog | boolean | checkbox | Yog_20 |
| 108 | Tsis Yog | boolean | checkbox | Tsis Yog_20 |
| 109 | Yog | boolean | checkbox | Yog_21 |
| 110 | Tsis Yog | boolean | checkbox | Tsis Yog_21 |
| 111 | Yog | boolean | checkbox | Yog_22 |
| 112 | Tsis Yog | boolean | checkbox | Tsis Yog_22 |
| 113 | Yog | boolean | checkbox | Yog_23 |
| 114 | Tsis Yog | boolean | checkbox | Tsis Yog_23 |
| 115 | Cov niam txiv muaj coob npaum li cas nyob nrog koj | string | text | Cov niam txiv muaj coob npaum li cas nyob nrog koj |
| 116 | Yog | boolean | checkbox | Yog_24 |
| 117 | Tsis Yog | boolean | checkbox | Tsis Yog_24 |
| 118 | thiab teb Txaus D rau phab 25 | boolean | checkbox | thiab teb Txaus D rau phab 25 |
| 119 | Nyiv pooj | boolean | checkbox | Nyiv pooj |
| 120 | Korean | boolean | checkbox | Korean |
| 121 | Nplog | boolean | checkbox | Nplog |
| 122 | Nyab laj | boolean | checkbox | Nyab laj |
| 123 | Ib Txwm Hawaiian | boolean | checkbox | Ib Txwm Hawaiian |
| 124 | Yog | boolean | checkbox | Yog_25 |
| 125 | Tsis Yog | boolean | checkbox | Tsis Yog_25 |
| 126 | Dawb | boolean | checkbox | Dawb |
| 127 | Dub los sis African | boolean | checkbox | Dub los sis African |
| 128 | Asmeslivkas Khab | boolean | checkbox | Asmeslivkas Khab |
| 129 | Neeg Esxias Khab | boolean | checkbox | Neeg Esxias Khab |
| 130 | Qhab meem | boolean | checkbox | Qhab meem |
| 131 | Suav | boolean | checkbox | Suav |
| 132 | Filipino | boolean | checkbox | Filipino |
| 133 | Hmoob | boolean | checkbox | Hmoob |
| 134 | Guamanian los | boolean | checkbox | Guamanian los |
| 135 | Samoan | boolean | checkbox | Samoan |
| 136 | Lwm yam | boolean | checkbox | Lwm yam |
| 137 | undefined | string | text | undefined_8 |
| 138 | Guatemalan | boolean | checkbox | Guatemalan |
| 139 | Puerto Rican | boolean | checkbox | Puerto Rican |
| 140 | Mexican, Mexican Asmeslivkas, Chicano | boolean | checkbox | Mexican Mexican Asmeslivkas Chicano |
| 141 | Salvadoran | boolean | checkbox | Salvadoran |
| 142 | Cuban | boolean | checkbox | Cuban |
| 143 | Lwm yam Hispanic, Latino, los sis Spanish | boolean | checkbox | Lwm yam Hispanic Latino los sis Spanish |
| 144 | keeb kwm | string | text | keeb kwm |
| 145 | Khij no yog tias koj yog ib tug neeg Asmeslivkas Khab los yog Alaska ib Txwm, thiab sau Ntxuas A nyob rau phab 20 thiab 21 | boolean | checkbox | Khij no yog tias koj yog ib tug neeg Asmeslivkas Khab los yog Alaska ib Txwm thiab sau Ntxuas A nyob rau phab 20 thiab 21 |
| 146 | Yog Yog tias muaj, teb cov lus nug hauv qab no | boolean | checkbox | Yog Yog tias muaj teb cov lus nug hauv qab no |
| 147 | Tsis Yog Yog tsis muaj, mus rau lwm yam nyiaj tau los rau ntawm phab no | boolean | checkbox | Tsis Yog Yog tsis muaj mus rau lwm yam nyiaj tau los rau ntawm phab no |
| 148 | HAUJ LWM 1: Koj laj nyiaj li cas? | string | text | HAUJ LWM 1 Koj laj nyiaj li cas |
| 149 | Teev: Muaj pes tsawg teev ib as thiv twg | string | text | Teev Muaj pes tsawg teev ib as thiv twg |
| 150 | undefined | boolean | checkbox | undefined_9 |
| 151 | undefined | boolean | checkbox | undefined_10 |
| 152 | Txhua hnub: Muaj pes tsawg hnub ib as thiv twg | string | text | Txhua hnub Muaj pes tsawg hnub ib as thiv twg |
| 153 | Txhua as thiv | boolean | checkbox | Txhua as thiv |
| 154 | Txhua ob as thiv | boolean | checkbox | Txhua ob as thiv |
| 155 | Ob zaug tuaj ib hli | boolean | checkbox | Ob zaug tuaj ib hli |
| 156 | Txhua hli | boolean | checkbox | Txhua hli |
| 157 | Txhua peb hli | boolean | checkbox | Txhua peb hli |
| 158 | Txhua rau hli | boolean | checkbox | Txhua rau hli |
| 159 | Txhua xyoo | boolean | checkbox | Txhua xyoo |
| 160 | Ib zaum them (Saib FAQ #33 ntawn phab 33 | boolean | checkbox | Ib zaum them Saib FAQ 33 ntawn phab 33 |
| 161 | Chaw hauj lwm npe (yeem) | string | text | Chaw hauj lwm npe yeem |
| 162 | Ntau npaum li cas yuav ua koj tau txais nyiaj (ua ntej rho se tawm | string | text | Ntau npaum li cas yuav ua koj tau txais nyiaj ua ntej rho se tawm |
| 163 | HAUJ LWM 2: Koj laj nyiaj li cas? | string | text | HAUJ LWM 2 Koj laj nyiaj li cas |
| 164 | Teev: Muaj pes tsawg teev ib as thiv twg | string | text | Teev Muaj pes tsawg teev ib as thiv twg_2 |
| 165 | undefined | boolean | checkbox | undefined_11 |
| 166 | undefined | boolean | checkbox | undefined_12 |
| 167 | Txhua hnub: Muaj pes tsawg hnub ib as thiv twg | string | text | Txhua hnub Muaj pes tsawg hnub ib as thiv twg_2 |
| 168 | Txhua as thiv | boolean | checkbox | Txhua as thiv_2 |
| 169 | Txhua ob as thiv | boolean | checkbox | Txhua ob as thiv_2 |
| 170 | Ob zaug tuaj ib hli | boolean | checkbox | Ob zaug tuaj ib hli_2 |
| 171 | Txhua hli | boolean | checkbox | Txhua hli_2 |
| 172 | Txhua peb hli | boolean | checkbox | Txhua peb hli_2 |
| 173 | Txhua rau hli | boolean | checkbox | Txhua rau hli_2 |
| 174 | Txhua xyoo | boolean | checkbox | Txhua xyoo_2 |
| 175 | Ib zaum them (Saib FAQ #33 ntawn phab 33 | boolean | checkbox | Ib zaum them Saib FAQ 33 ntawn phab 33_2 |
| 176 | Chaw hauj lwm npe (yeem) | string | text | Chaw hauj lwm npe yeem_2 |
| 177 | Ntau npaum li cas yuav ua koj tau txais nyiaj (ua ntej rho se tawm | string | text | Ntau npaum li cas yuav ua koj tau txais nyiaj ua ntej rho se tawm_2 |
| 178 | Yog Yog tias muaj, teb cov lus nug hauv qab no | boolean | checkbox | Yog Yog tias muaj teb cov lus nug hauv qab no_2 |
| 179 | Tsis Yog Yog tsis muaj, mus rau lwm yam nyiaj tau los rau ntawm phab no | boolean | checkbox | Tsis Yog Yog tsis muaj mus rau lwm yam nyiaj tau los rau ntawm phab no_2 |
| 180 | Home Haujlwm | string | text | Home Haujlwm |
| 181 | Koj tau nyiaj npaum li cas los nqa ntawm yus ua hauj lwm lub hlis no | string | text | Koj tau nyiaj npaum li cas los nqa ntawm yus ua hauj lwm lub hlis no |
| 182 | Yog Yog tias muaj, teb cov lus nug hauv qab no | boolean | checkbox | Yog Yog tias muaj teb cov lus nug hauv qab no_3 |
| 183 | Tsis Yog Yog tsis muaj, mus rau lwm yam nyiaj tau los rau ntawm phab no | boolean | checkbox | Tsis Yog Yog tsis muaj mus rau lwm yam nyiaj tau los rau ntawm phab no_3 |
| 184 | Home Haujlwm | string | text | Home Haujlwm_2 |
| 185 | Koj tau nyiaj npaum li cas los nqa ntawm yus ua hauj lwm lub hlis no | string | text | Koj tau nyiaj npaum li cas los nqa ntawm yus ua hauj lwm lub hlis no_2 |
| 186 | Yog Yog tias muaj, teb cov lus nug hauv qab no | boolean | checkbox | Yog Yog tias muaj teb cov lus nug hauv qab no_4 |
| 187 | Tsis Yog Yog tsis muaj, mus saib cov nyiaj pauv phab no | boolean | checkbox | Tsis Yog Yog tsis muaj mus saib cov nyiaj pauv phab no |
| 188 | Npaum li koj tau them? (khij ib qho | boolean | checkbox | Npaum li koj tau them khij ib qho |
| 189 | undefined | boolean | checkbox | undefined_13 |
| 190 | Teev: Muaj pes tsawg teev ib as thiv twg | string | text | Teev Muaj pes tsawg teev ib as thiv twg_3 |
| 191 | Txhua hnub: Muaj pes tsawg hnub ib as thiv twg | string | text | Txhua hnub Muaj pes tsawg hnub ib as thiv twg_3 |
| 192 | Txhua as thiv | boolean | checkbox | Txhua as thiv_3 |
| 193 | Txhua ob as thiv | boolean | checkbox | Txhua ob as thiv_3 |
| 194 | Ob zaug tuaj ib hli | boolean | checkbox | Ob zaug tuaj ib hli_3 |
| 195 | Txhua hli | boolean | checkbox | Txhua hli_3 |
| 196 | Txhua peb hli | boolean | checkbox | Txhua peb hli_3 |
| 197 | Txhua rau hli | boolean | checkbox | Txhua rau hli_3 |
| 198 | Txhua xyoo | boolean | checkbox | Txhua xyoo_3 |
| 199 | Ib zaum them (Saib FAQ #33 ntawn phab 33 | boolean | checkbox | Ib zaum them Saib FAQ 33 ntawn phab 33_3 |
| 200 | Qhov twg tau nyiaj los ntawm?_Row_1 | string | text | Qhov twg tau nyiaj los ntawmRow1 |
| 201 | Teev: Muaj pes tsawg teev ib as thiv twg | string | text | Teev Muaj pes tsawg teev ib as thiv twg_4 |
| 202 | undefined | boolean | checkbox | undefined_14 |
| 203 | undefined | boolean | checkbox | undefined_15 |
| 204 | Txhua hnub: Muaj pes tsawg hnub ib as thiv twg | string | text | Txhua hnub Muaj pes tsawg hnub ib as thiv twg_4 |
| 205 | Txhua as thiv | boolean | checkbox | Txhua as thiv_4 |
| 206 | Txhua ob as thiv | boolean | checkbox | Txhua ob as thiv_4 |
| 207 | Ob zaug tuaj ib hli | boolean | checkbox | Ob zaug tuaj ib hli_4 |
| 208 | Txhua hli | boolean | checkbox | Txhua hli_4 |
| 209 | Txhua peb hli | boolean | checkbox | Txhua peb hli_4 |
| 210 | Txhua rau hli | boolean | checkbox | Txhua rau hli_4 |
| 211 | Txhua xyoo | boolean | checkbox | Txhua xyoo_4 |
| 212 | Ib zaum them (Saib FAQ #33 ntawn phab 33 | boolean | checkbox | Ib zaum them Saib FAQ 33 ntawn phab 33_4 |
| 213 | undefined | string | text | fill_21 |
| 214 | Koj xa thaib koj tau nyiaj paub li cas los xyoo no? (yeem | string | text | Koj xa thaib koj tau nyiaj paub li cas los xyoo no yeem |
| 215 | undefined | string | text | undefined_16 |
| 216 | Yog Yog tias muaj, teb cov lus nug hauv qab no | boolean | checkbox | Yog Yog tias muaj teb cov lus nug hauv qab no_5 |
| 217 | Tsis Yog Yog tsis muaj, mus rau phab ntawv tom ntej no | boolean | checkbox | Tsis Yog Yog tsis muaj mus rau phab ntawv tom ntej no |
| 218 | Nyiaj them | boolean | checkbox | Nyiaj them |
| 219 | Me nyuam kawm ntawv | boolean | checkbox | Me nyuam kawm ntawv |
| 220 | Lwm yam | boolean | checkbox | Lwm yam_2 |
| 221 | Heev npaum li cas ua koj tau los them rau cov kev qhov txiav? (khij ib qho | boolean | checkbox | Heev npaum li cas ua koj tau los them rau cov kev qhov txiav khij ib qho |
| 222 | Txhua hnub: Muaj pes tsawg hnub ib as thiv twg | boolean | checkbox | Txhua hnub Muaj pes tsawg hnub ib as thiv twg_5 |
| 223 | Teev: Muaj pes tsawg teev ib as thiv twg | string | text | Teev Muaj pes tsawg teev ib as thiv twg_5 |
| 224 | Txhua as thiv | boolean | checkbox | Txhua as thiv_5 |
| 225 | Txhua ob as thiv | boolean | checkbox | Txhua ob as thiv_5 |
| 226 | Ob zaug tuaj ib hli | boolean | checkbox | Ob zaug tuaj ib hli_5 |
| 227 | Txhua hli | boolean | checkbox | Txhua hli_5 |
| 228 | Txhua peb hli | boolean | checkbox | Txhua peb hli_5 |
| 229 | Txhua rau hli | boolean | checkbox | Txhua rau hli_5 |
| 230 | Txhua xyoo | boolean | checkbox | Txhua xyoo_5 |
| 231 | Ib zaum them (Saib FAQ #33 ntawn phab 33 | boolean | checkbox | Ib zaum them Saib FAQ 33 ntawn phab 33_5 |
| 232 | Pes tsawg? $ | string | text | Pes tsawg |
| 233 | Nyiaj them | boolean | checkbox | Nyiaj them_2 |
| 234 | Me nyuam kawm ntawv | boolean | checkbox | Me nyuam kawm ntawv_2 |
| 235 | Lwm yam | boolean | checkbox | Lwm yam_3 |
| 236 | Teev: Muaj pes tsawg teev ib as thiv twg | string | text | Teev Muaj pes tsawg teev ib as thiv twg_6 |
| 237 | undefined | boolean | checkbox | undefined_17 |
| 238 | Txhua hnub: Muaj pes tsawg hnub ib as thiv twg | boolean | checkbox | Txhua hnub Muaj pes tsawg hnub ib as thiv twg_6 |
| 239 | Txhua as thiv | boolean | checkbox | Txhua as thiv_6 |
| 240 | Txhua ob as thiv | boolean | checkbox | Txhua ob as thiv_6 |
| 241 | Ob zaug tuaj ib hli | boolean | checkbox | Ob zaug tuaj ib hli_6 |
| 242 | Txhua hli | boolean | checkbox | Txhua hli_6 |
| 243 | Txhua peb hli | boolean | checkbox | Txhua peb hli_6 |
| 244 | Txhua rau hli | boolean | checkbox | Txhua rau hli_6 |
| 245 | Txhua xyoo | boolean | checkbox | Txhua xyoo_6 |
| 246 | Ib zaum them (Saib FAQ #33 ntawn phab 33 | boolean | checkbox | Ib zaum them Saib FAQ 33 ntawn phab 33_6 |
| 247 | undefined | string | text | fill_26 |
| 248 | Lub npe Npe nruab nrab Lub xeem Cov tsiaj ntawv tom qab (piv txwv: Sr., Jr., III, IV) | string | text | Lub npe Npe nruab nrab Lub xeem Cov tsiaj ntawv tom qab piv txwv Sr Jr III IV |
| 249 | Kev txheeb ze rau koj | string | text | Kev txheeb ze rau koj |
| 250 | Khij ntawm no yog tus neeg ntawd qhov chaw nyob tom tsev yog ib yam li kev tiv tauj lub ntsiab qhov chaw nyob tom tsev | boolean | checkbox | Khij ntawm no yog tus neeg ntawd qhov chaw nyob tom tsev yog ib yam li kev tiv tauj lub ntsiab qhov chaw nyob tom tsev |
| 251 | Zos (tsev chaw nyob) | string | text | Zos tsev chaw nyob_2 |
| 252 | Xeev | string | text | Xeev_3 |
| 253 | Zij khauj | string | text | Zij khauj_3 |
| 254 | Lub nroog | string | text | Lub nroog_3 |
| 255 | Khij no yog tias tus neeg no tsis muaj ib qhov chaw nyob tom tsev. Koj yuav tsum muab rau peb lub chaw nyob hauv qab no | boolean | checkbox | Khij no yog tias tus neeg no tsis muaj ib qhov chaw nyob tom tsev Koj yuav tsum muab rau peb lub chaw nyob hauv qab no |
| 256 | Khij no yog tias tus neeg no lub chaw nyob uas yog tib yam li tus thawj cuag lub chaw nyob | boolean | checkbox | Khij no yog tias tus neeg no lub chaw nyob uas yog tib yam li tus thawj cuag lub chaw nyob |
| 257 | Zos (chaw nyob xa ntawv) | string | text | Zos chaw nyob xa ntawv_2 |
| 258 | Xeev | string | text | Xeev_4 |
| 259 | Zij khauj | string | text | Zij khauj_4 |
| 260 | Lub nroog | string | text | Lub nroog_4 |
| 261 | Tus xov tooj Zoo tshaj hu mus cuag tus neeg no Tsev Xov tooj ntawm tes Haujlawm Naj npawb: ( ) | string | text | Tus xov tooj Zoo tshaj hu mus cuag tus neeg no Tsev Xov tooj ntawm tes Haujlawm Naj npawb |
| 262 | Tsev | boolean | checkbox | Tsev_3 |
| 263 | Xov tooj ntawm tes | boolean | checkbox | Xov tooj ntawm tes_3 |
| 264 | Haujlawm | boolean | checkbox | Haujlawm |
| 265 | Tsev | boolean | checkbox | Tsev_4 |
| 266 | Xov tooj ntawm tes | boolean | checkbox | Xov tooj ntawm tes_4 |
| 267 | Haujlawm | boolean | checkbox | Haujlawm_2 |
| 268 | Peb yuav sau hom lus li cas rau tus neeg no? | string | text | Peb yuav sau hom lus li cas rau tus neeg no |
| 269 | Hom lus twg no xav peb mus hais lus rau nws nyob rau hauv? | string | text | Hom lus twg no xav peb mus hais lus rau nws nyob rau hauv |
| 270 | Tus neeg no yog: Txiv neeg Poj niam | string | text | Tus neeg no yog Txiv neeg Poj niam |
| 271 | undefined | boolean | checkbox | undefined_18 |
| 272 | undefined | boolean | checkbox | undefined_19 |
| 273 | Ib leej | boolean | checkbox | Ib leej_2 |
| 274 | Tsis tau sib yuav | boolean | checkbox | Tsis tau sib yuav |
| 275 | Sib yuav | boolean | checkbox | Sib yuav_2 |
| 276 | Nrauj | boolean | checkbox | Nrauj |
| 277 | Muaj npe uas khwv | boolean | checkbox | Muaj npe uas khwv_2 |
| 278 | Poj ntsuam | boolean | checkbox | Poj ntsuam |
| 279 | Hnub yug (hli / nruab hnub / xyoo) | string | text | Hnub yug hli nruab hnub xyoo |
| 280 | Yog | boolean | checkbox | Yog_26 |
| 281 | Tsis Yog | boolean | checkbox | Tsis Yog_26 |
| 282 | Yog tias muaj, muaj pes tsawg tus me nyuam mos yuav tau | string | text | Yog tias muaj muaj pes tsawg tus me nyuam mos yuav tau |
| 283 | Hnub uas yuav los yug | string | text | Hnub uas yuav los yug_2 |
| 284 | Yog Yog tias muaj, teb cov lus nug hauv qab no | boolean | checkbox | Yog Yog tias muaj teb cov lus nug hauv qab no_6 |
| 285 | Tsis Yog Yog tsis muaj, SSN ntawv yog nyob ntawm yeem | boolean | checkbox | Tsis Yog Yog tsis muaj SSN ntawv yog nyob ntawm yeem |
| 286 | Yog hais tias tus neeg no tsis muaj tus SSN yog vim li | boolean | checkbox | Yog hais tias tus neeg no tsis muaj tus SSN yog vim li |
| 287 | undefined | boolean | checkbox | undefined_20 |
| 288 | Kev ntseeg zam | boolean | checkbox | Kev ntseeg zam_2 |
| 289 | Adoption Taxpayer Identification Number (ATIN | string | text | Adoption Taxpayer Identification Number ATIN_2 |
| 290 | undefined | string | text | undefined_21 |
| 291 | undefined | string | text | undefined_22 |
| 292 | undefined | string | text | undefined_23 |
| 293 | Individual Taxpayer Identification Number (ITIN | string | text | Individual Taxpayer Identification Number ITIN_2 |
| 294 | Tsis tsim nyog rau tus SSN | boolean | checkbox | Tsis tsim nyog rau tus SSN |
| 295 | Yog | boolean | checkbox | Yog_27 |
| 296 | Tsis Yog | boolean | checkbox | Tsis Yog_27 |
| 297 | Yog | boolean | checkbox | Yog_28 |
| 298 | Tus thawj ntawm cov tsev neeg | boolean | checkbox | Tus thawj ntawm cov tsev neeg |
| 299 | Ywj siab | boolean | checkbox | Ywj siab |
| 300 | Muaj txij nkawm nyias ua nyias | boolean | checkbox | Muaj txij nkawm nyias ua nyias |
| 301 | Tsis Yog | boolean | checkbox | Tsis Yog_28 |
| 302 | Yog | boolean | checkbox | Yog_29 |
| 303 | undefined | boolean | checkbox | undefined_24 |
| 304 | Tus neeg no yog ib tug niam txiv tsis tau tus me nyuam uas tsis muaj teev rau | boolean | checkbox | Tus neeg no yog ib tug niam txiv tsis tau tus me nyuam uas tsis muaj teev rau |
| 305 | Tsis Yog | boolean | checkbox | Tsis Yog_29 |
| 306 | Ib leeg | boolean | checkbox | Ib leeg_2 |
| 307 | Tus neeg | string | text | Tus neeg_2 |
| 308 | Tus neeg no yog ib tug niam txiv tsis tau me nyuam | boolean | checkbox | Tus neeg no yog ib tug niam txiv tsis tau me nyuam_2 |
| 309 | Muaj txij nkawm ua ke | boolean | checkbox | Muaj txij nkawm ua ke |
| 310 | Yog | boolean | checkbox | Yog_30 |
| 311 | Tsis Yog | boolean | checkbox | Tsis Yog_30 |
| 312 | Yog | boolean | checkbox | Yog_31 |
| 313 | Tsis Yog | boolean | checkbox | Tsis Yog_31 |
| 314 | undefined | boolean | checkbox | undefined_25 |
| 315 | undefined | boolean | checkbox | undefined_26 |
| 316 | Yog tus neeg no tau pab nrog tu los yog kev pab cuam hauv tsev thiab hauv zej zog? Yog Tsis Yog | string | text | Yog tus neeg no tau pab nrog tu los yog kev pab cuam hauv tsev thiab hauv zej zog Yog Tsis Yog |
| 317 | Yog | boolean | checkbox | Yog_32 |
| 318 | Tsis Yog | boolean | checkbox | Tsis Yog_32 |
| 319 | Yog Tau pom tias tus neeg no muaj fee rau lawv, mus Ntxuas E rau nplooj 27 | boolean | checkbox | Yog Tau pom tias tus neeg no muaj fee rau lawv mus Ntxuas E rau nplooj 27 |
| 320 | rau ib daim ntawv teev. Mam li sau tsab ntawv qhia no. Feem ntau cov ntawv lej yuav tus nawj npawb | string | text | rau ib daim ntawv teev Mam li sau tsab ntawv qhia no Feem ntau cov ntawv lej yuav tus nawj npawb |
| 321 | Naj npawb ID | string | text | Naj npawb ID |
| 322 | Lub teb chaws kev tshaj tawm tias | string | text | Lub teb chaws kev tshaj tawm tias |
| 323 | undefined | string | text | undefined_27 |
| 324 | Hnub tas kas nuv | string | text | Hnub tas kas nuv_2 |
| 325 | Yog | boolean | checkbox | Yog_33 |
| 326 | Tsis Yog | boolean | checkbox | Tsis Yog_33 |
| 327 | Yog | boolean | checkbox | Yog_34 |
| 328 | Tsis Yog | boolean | checkbox | Tsis Yog_34 |
| 329 | Yog | boolean | checkbox | Yog_35 |
| 330 | Tsis Yog | boolean | checkbox | Tsis Yog_35 |
| 331 | Yog | boolean | checkbox | Yog_36 |
| 332 | Tsis Yog | boolean | checkbox | Tsis Yog_36 |
| 333 | Yog | boolean | checkbox | Yog_37 |
| 334 | Yog | boolean | checkbox | Yog_38 |
| 335 | Tsis Yog | boolean | checkbox | Tsis Yog_37 |
| 336 | Tsis Yog | boolean | checkbox | Tsis Yog_38 |
| 337 | Yog tias muaj, yog tus neeg no saib xyuas tus me nyuam los yog cov me nyuam | string | text | Yog tias muaj yog tus neeg no saib xyuas tus me nyuam los yog cov me nyuam |
| 338 | Yog | boolean | checkbox | Yog_39 |
| 339 | Tsis Yog | boolean | checkbox | Tsis Yog_39 |
| 340 | Yog | boolean | checkbox | Yog_40 |
| 341 | Tsis Yog | boolean | checkbox | Tsis Yog_40 |
| 342 | Yog | boolean | checkbox | Yog_41 |
| 343 | Tsis Yog | boolean | checkbox | Tsis Yog_41 |
| 344 | Yog | boolean | checkbox | Yog_42 |
| 345 | Tsis Yog | boolean | checkbox | Tsis Yog_42 |
| 346 | Cov niam txiv muaj coob npaum li cas nyob nrog tus neeg no | string | text | Cov niam txiv muaj coob npaum li cas nyob nrog tus neeg no |
| 347 | Tus neeg no puas yog 18 xyoo thiab yau dua | string | text | Tus neeg no puas yog 18 xyoo thiab yau dua |
| 348 | Yog | boolean | checkbox | Yog_43 |
| 349 | Tsis Yog | boolean | checkbox | Tsis Yog_43 |
| 350 | Cov haiv neeg no tus neeg ntawd yog dab tsi? (yeem; khij txhua qhov uas phim) Dawb Dub los sis African Asmeslivkas Asmeslivkas Khab los yog Alaska Ib Txwm Neeg Esxias Khab Qhab meem Suav Filipino Hmoob Nyiv pooj Korean Nplog Nyab laj Ib Txwm Hawaiian Guamanian los yog Chamorro Samoan Lwm yam | string | text | Cov haiv neeg no tus neeg ntawd yog dab tsi yeem khij txhua qhov uas phim Dawb Dub los sis African Asmeslivkas Asmeslivkas Khab los yog Alaska Ib Txwm Neeg Esxias Khab Qhab meem Suav Filipino Hmoob Nyiv pooj Korean Nplog Nyab laj Ib Txwm Hawaiian Guamanian los yog Chamorro Samoan Lwm yam |
| 351 | Neeg Esxias Khab | boolean | checkbox | Neeg Esxias Khab_2 |
| 352 | Qhab meem | boolean | checkbox | Qhab meem_2 |
| 353 | Suav | boolean | checkbox | Suav_2 |
| 354 | Filipino | boolean | checkbox | Filipino_2 |
| 355 | Hmoob | boolean | checkbox | Hmoob_2 |
| 356 | Dawb | boolean | checkbox | Dawb_2 |
| 357 | Dub los sis African | boolean | checkbox | Dub los sis African_2 |
| 358 | Asmeslivkas Khab | boolean | checkbox | Asmeslivkas Khab_2 |
| 359 | Yog | boolean | checkbox | Yog_44 |
| 360 | Tsis Yog | boolean | checkbox | Tsis Yog_44 |
| 361 | Nyiv pooj | boolean | checkbox | Nyiv pooj_2 |
| 362 | Korean | boolean | checkbox | Korean_2 |
| 363 | Nplog | boolean | checkbox | Nplog_2 |
| 364 | Nyab laj | boolean | checkbox | Nyab laj_2 |
| 365 | Ib Txwm Hawaiian | boolean | checkbox | Ib Txwm Hawaiian_2 |
| 366 | Guamanian los | boolean | checkbox | Guamanian los_2 |
| 367 | Samoan | boolean | checkbox | Samoan_2 |
| 368 | Lwm yam | boolean | checkbox | Lwm yam_4 |
| 369 | undefined | string | text | undefined_28 |
| 370 | Mexican, Mexican Asmeslivkas, Chicano | boolean | checkbox | Mexican Mexican Asmeslivkas Chicano_2 |
| 371 | Salvadoran | boolean | checkbox | Salvadoran_2 |
| 372 | Cuban | boolean | checkbox | Cuban_2 |
| 373 | Lwm yam Hispanic, Latino, los sis Spanish | boolean | checkbox | Lwm yam Hispanic Latino los sis Spanish_2 |
| 374 | Guatemalan | boolean | checkbox | Guatemalan_2 |
| 375 | Puerto Rican | boolean | checkbox | Puerto Rican_2 |
| 376 | keeb kwm | string | text | keeb kwm_2 |
| 377 | Khij no yog tias tus neeg no yog ib tug neeg Asmeslivkas Khab los yog Alaska ib Txwm, thiab sau Ntxuas A nyob rau phab 20 thiab 21 | boolean | checkbox | Khij no yog tias tus neeg no yog ib tug neeg Asmeslivkas Khab los yog Alaska ib Txwm thiab sau Ntxuas A nyob rau phab 20 thiab 21 |
| 378 | Yog Yog tias muaj, teb cov lus nug hauv qab no | boolean | checkbox | Yog Yog tias muaj teb cov lus nug hauv qab no_7 |
| 379 | Tsis Yog Yog tsis muaj, mus rau lwm yam nyiaj tau los rau ntawm nplooj ntawv no | boolean | checkbox | Tsis Yog Yog tsis muaj mus rau lwm yam nyiaj tau los rau ntawm nplooj ntawv no |
| 380 | Teev: Muaj pes tsawg teev ib as thiv twg | string | text | Teev Muaj pes tsawg teev ib as thiv twg_7 |
| 381 | undefined | boolean | checkbox | undefined_29 |
| 382 | undefined | boolean | checkbox | undefined_30 |
| 383 | Txhua hnub: Muaj pes tsawg hnub ib as thiv twg | string | text | Txhua hnub Muaj pes tsawg hnub ib as thiv twg_7 |
| 384 | Txhua as thiv | boolean | checkbox | Txhua as thiv_7 |
| 385 | Txhua ob as thiv | boolean | checkbox | Txhua ob as thiv_7 |
| 386 | Ob zaug tuaj ib hli | boolean | checkbox | Ob zaug tuaj ib hli_7 |
| 387 | Txhua hli | boolean | checkbox | Txhua hli_7 |
| 388 | Txhua peb hli | boolean | checkbox | Txhua peb hli_7 |
| 389 | Txhua rau hli | boolean | checkbox | Txhua rau hli_7 |
| 390 | Txhua xyoo | boolean | checkbox | Txhua xyoo_7 |
| 391 | Ib zaum them (Saib FAQ #33 ntawn phab 33 | boolean | checkbox | Ib zaum them Saib FAQ 33 ntawn phab 33_7 |
| 392 | Chaw hauj lwm npe (yeem) | string | text | Chaw hauj lwm npe yeem |
| 393 | Tus neeg no tau ntau npaum cas (ua ntej se | string | text | Tus neeg no tau ntau npaum cas ua ntej se |
| 394 | Teev: Muaj pes tsawg teev ib as thiv twg | string | text | Teev Muaj pes tsawg teev ib as thiv twg_8 |
| 395 | undefined | boolean | checkbox | undefined_31 |
| 396 | undefined | boolean | checkbox | undefined_32 |
| 397 | Txhua hnub: Muaj pes tsawg hnub ib as thiv twg | string | text | Txhua hnub Muaj pes tsawg hnub ib as thiv twg_8 |
| 398 | Txhua as thiv | boolean | checkbox | Txhua as thiv_8 |
| 399 | Txhua ob as thiv | boolean | checkbox | Txhua ob as thiv_8 |
| 400 | Ob zaug tuaj ib hli | boolean | checkbox | Ob zaug tuaj ib hli_8 |
| 401 | Txhua hli | boolean | checkbox | Txhua hli_8 |
| 402 | Txhua peb hli | boolean | checkbox | Txhua peb hli_8 |
| 403 | Txhua rau hli | boolean | checkbox | Txhua rau hli_8 |
| 404 | Txhua xyoo | boolean | checkbox | Txhua xyoo_8 |
| 405 | Ib zaum them (Saib FAQ #33 ntawn phab 33 | boolean | checkbox | Ib zaum them Saib FAQ 33 ntawn phab 33_8 |
| 406 | Chaw hauj lwm npe (yeem) | string | text | Chaw hauj lwm npe yeem_2 |
| 407 | Tus neeg no tau ntau npaum cas (ua ntej se | string | text | Tus neeg no tau ntau npaum cas ua ntej se_2 |
| 408 | Yog Yog tias muaj, teb cov lus nug hauv qab no | boolean | checkbox | Yog Yog tias muaj teb cov lus nug hauv qab no_8 |
| 409 | Tsis Yog Yog tsis muaj, mus rau lwm yam nyiaj tau los rau ntawm nplooj ntawv no | boolean | checkbox | Tsis Yog Yog tsis muaj mus rau lwm yam nyiaj tau los rau ntawm nplooj ntawv no_2 |
| 410 | Hom haujlwm | string | text | Hom haujlwm |
| 411 | Nyiaj npaum li cas los nqa yuav tus neeg no tau los ntawm kev ua haujlwm rau tug kheej lub hlis no | string | text | Nyiaj npaum li cas los nqa yuav tus neeg no tau los ntawm kev ua haujlwm rau tug kheej lub hlis no |
| 412 | Yog Yog tias muaj, teb cov lus nug hauv qab no | boolean | checkbox | Yog Yog tias muaj teb cov lus nug hauv qab no_9 |
| 413 | Tsis Yog Yog tsis muaj, mus rau lwm yam nyiaj tau los rau ntawm nplooj ntawv no | boolean | checkbox | Tsis Yog Yog tsis muaj mus rau lwm yam nyiaj tau los rau ntawm nplooj ntawv no_3 |
| 414 | Hom haujlwm | string | text | Hom haujlwm_2 |
| 415 | Nyiaj npaum li cas los nqa yuav tus neeg no tau los ntawm kev ua haujlwm rau tug kheej lub hlis no | string | text | Nyiaj npaum li cas los nqa yuav tus neeg no tau los ntawm kev ua haujlwm rau tug kheej lub hlis no_2 |
| 416 | Yog Yog yog, teb cov lus nug hauv qab no | boolean | checkbox | Yog Yog yog teb cov lus nug hauv qab no |
| 417 | Tsis Yog Yog tsis yog, mus rau nyiaj tau hloov ntawm phab no | boolean | checkbox | Tsis Yog Yog tsis yog mus rau nyiaj tau hloov ntawm phab no |
| 418 | Tus neeg no tau them puas tsawg zaum? (khij ib qho | boolean | checkbox | Tus neeg no tau them puas tsawg zaum khij ib qho |
| 419 | undefined | boolean | checkbox | undefined_33 |
| 420 | Txhua hnub: Muaj pes tsawg hnub ib as thiv twg | string | text | Txhua hnub Muaj pes tsawg hnub ib as thiv twg_9 |
| 421 | Teev: Muaj pes tsawg teev ib as thiv twg | string | text | Teev Muaj pes tsawg teev ib as thiv twg_9 |
| 422 | Txhua as thiv | boolean | checkbox | Txhua as thiv_9 |
| 423 | Txhua ob as thiv | boolean | checkbox | Txhua ob as thiv_9 |
| 424 | Ob zaug tuaj ib hli | boolean | checkbox | Ob zaug tuaj ib hli_9 |
| 425 | Txhua hli | boolean | checkbox | Txhua hli_9 |
| 426 | Txhua peb hli | boolean | checkbox | Txhua peb hli_9 |
| 427 | Txhua rau hli | boolean | checkbox | Txhua rau hli_9 |
| 428 | Txhua xyoo | boolean | checkbox | Txhua xyoo_9 |
| 429 | Ib zaum them (Saib FAQ #33 ntawn phab 33 | boolean | checkbox | Ib zaum them Saib FAQ 33 ntawn phab 33_9 |
| 430 | Qhov twg tau nyiaj los ntawm?_Row_1 | string | text | Qhov twg tau nyiaj los ntawmRow1_2 |
| 431 | Teev: Muaj pes tsawg teev ib as thiv twg | string | text | Teev Muaj pes tsawg teev ib as thiv twg_10 |
| 432 | undefined | boolean | checkbox | undefined_34 |
| 433 | undefined | boolean | checkbox | undefined_35 |
| 434 | Txhua hnub: Muaj pes tsawg hnub ib as thiv twg | string | text | Txhua hnub Muaj pes tsawg hnub ib as thiv twg_10 |
| 435 | Txhua as thiv | boolean | checkbox | Txhua as thiv_10 |
| 436 | Txhua ob as thiv | boolean | checkbox | Txhua ob as thiv_10 |
| 437 | Ob zaug tuaj ib hli | boolean | checkbox | Ob zaug tuaj ib hli_10 |
| 438 | Txhua hli | boolean | checkbox | Txhua hli_10 |
| 439 | Txhua peb hli | boolean | checkbox | Txhua peb hli_10 |
| 440 | undefined | string | text | fill_20 |
| 441 | Txhua rau hli | boolean | checkbox | Txhua rau hli_10 |
| 442 | Txhua xyoo | boolean | checkbox | Txhua xyoo_10 |
| 443 | Ib zaum them (Saib FAQ #33 ntawn phab 33 | boolean | checkbox | Ib zaum them Saib FAQ 33 ntawn phab 33_10 |
| 444 | undefined | string | text | undefined_36 |
| 445 | undefined | string | text | undefined_37 |
| 446 | Yog Yog yog, teb cov lus nug hauv qab | boolean | checkbox | Yog Yog yog teb cov lus nug hauv qab |
| 447 | Tsis Yog Yog tsis yog, mus rau lwm phab | boolean | checkbox | Tsis Yog Yog tsis yog mus rau lwm phab |
| 448 | Tus neeg no tau los yog them rau tus nqi txo puas tsawg? (khij ib qho | boolean | checkbox | Tus neeg no tau los yog them rau tus nqi txo puas tsawg khij ib qho |
| 449 | Txhua hnub: Muaj pes tsawg hnub ib as thiv twg | boolean | checkbox | Txhua hnub Muaj pes tsawg hnub ib as thiv twg_11 |
| 450 | Nyiaj them | boolean | checkbox | Nyiaj them_3 |
| 451 | Me nyuam kawm ntawv | boolean | checkbox | Me nyuam kawm ntawv_3 |
| 452 | Lwm yam | boolean | checkbox | Lwm yam_5 |
| 453 | Teev: Muaj pes tsawg teev ib as thiv twg | string | text | Teev Muaj pes tsawg teev ib as thiv twg_11 |
| 454 | Txhua as thiv | boolean | checkbox | Txhua as thiv_11 |
| 455 | Txhua ob as thiv | boolean | checkbox | Txhua ob as thiv_11 |
| 456 | Ob zaug tuaj ib hli | boolean | checkbox | Ob zaug tuaj ib hli_11 |
| 457 | Txhua hli | boolean | checkbox | Txhua hli_11 |
| 458 | Txhua peb hli | boolean | checkbox | Txhua peb hli_11 |
| 459 | Txhua rau hli | boolean | checkbox | Txhua rau hli_11 |
| 460 | Txhua xyoo | boolean | checkbox | Txhua xyoo_11 |
| 461 | Ib zaum them (Saib FAQ #33 ntawn phab 33 | boolean | checkbox | Ib zaum them Saib FAQ 33 ntawn phab 33_11 |
| 462 | Pes tsawg? $ | string | text | Pes tsawg_2 |
| 463 | Nyiaj them | boolean | checkbox | Nyiaj them_4 |
| 464 | Me nyuam kawm ntawv | boolean | checkbox | Me nyuam kawm ntawv_4 |
| 465 | Lwm yam | boolean | checkbox | Lwm yam_6 |
| 466 | Teev: Muaj pes tsawg teev ib as thiv twg | string | text | Teev Muaj pes tsawg teev ib as thiv twg_12 |
| 467 | undefined | boolean | checkbox | undefined_38 |
| 468 | Txhua hnub: Muaj pes tsawg hnub ib as thiv twg | boolean | checkbox | Txhua hnub Muaj pes tsawg hnub ib as thiv twg_12 |
| 469 | Txhua as thiv | boolean | checkbox | Txhua as thiv_12 |
| 470 | Txhua ob as thiv | boolean | checkbox | Txhua ob as thiv_12 |
| 471 | Ob zaug tuaj ib hli | boolean | checkbox | Ob zaug tuaj ib hli_12 |
| 472 | Txhua hli | boolean | checkbox | Txhua hli_12 |
| 473 | Txhua peb hli | boolean | checkbox | Txhua peb hli_12 |
| 474 | Txhua rau hli | boolean | checkbox | Txhua rau hli_12 |
| 475 | Txhua xyoo | boolean | checkbox | Txhua xyoo_12 |
| 476 | Ib zaum them (Saib FAQ #33 ntawn phab 33 | boolean | checkbox | Ib zaum them Saib FAQ 33 ntawn phab 33_12 |
| 477 | undefined | string | text | fill_24 |
| 478 | Lub npe Npe nruab nrab Lub xeem Cov tsiaj ntawv tom qab (piv txwv: Sr., Jr., III, IV) | string | text | Lub npe Npe nruab nrab Lub xeem Cov tsiaj ntawv tom qab piv txwv Sr Jr III IV_2 |
| 479 | Kev txheeb ze rau koj | string | text | Kev txheeb ze rau koj_2 |
| 480 | Khij ntawm no yog tus neeg ntawd qhov chaw nyob tom tsev yog ib yam li kev tiv tauj lub ntsiab qhov chaw nyob tom tsev | boolean | checkbox | Khij ntawm no yog tus neeg ntawd qhov chaw nyob tom tsev yog ib yam li kev tiv tauj lub ntsiab qhov chaw nyob tom tsev_2 |
| 481 | Zos (tsev chaw nyob) | string | text | Zos tsev chaw nyob_3 |
| 482 | Xeev | string | text | Xeev_5 |
| 483 | Zij khauj | string | text | Zij khauj_5 |
| 484 | Lub nroog | string | text | Lub nroog_5 |
| 485 | Khij no yog tias tus neeg no tsis muaj ib qhov chaw nyob tom tsev. Koj yuav tsum muab rau peb lub chaw nyob hauv qab no | boolean | checkbox | Khij no yog tias tus neeg no tsis muaj ib qhov chaw nyob tom tsev Koj yuav tsum muab rau peb lub chaw nyob hauv qab no_2 |
| 486 | Khij no yog tias tus neeg no lub chaw nyob uas yog tib yam li tus thawj cuag lub chaw nyob | boolean | checkbox | Khij no yog tias tus neeg no lub chaw nyob uas yog tib yam li tus thawj cuag lub chaw nyob_2 |
| 487 | Zos (chaw nyob xa ntawv) | string | text | Zos chaw nyob xa ntawv_3 |
| 488 | Xeev | string | text | Xeev_6 |
| 489 | Zij khauj | string | text | Zij khauj_6 |
| 490 | Lub nroog | string | text | Lub nroog_6 |
| 491 | Tus xov tooj Zoo tshaj hu mus cuag tus neeg no Tsev Xov tooj ntawm tes Haujlawm Naj npawb: ( ) | string | text | Tus xov tooj Zoo tshaj hu mus cuag tus neeg no Tsev Xov tooj ntawm tes Haujlawm Naj npawb_2 |
| 492 | Tsev | boolean | checkbox | Tsev_5 |
| 493 | Xov tooj ntawm tes | boolean | checkbox | Xov tooj ntawm tes_5 |
| 494 | Haujlawm | boolean | checkbox | Haujlawm_3 |
| 495 | Tsev | boolean | checkbox | Tsev_6 |
| 496 | Xov tooj ntawm tes | boolean | checkbox | Xov tooj ntawm tes_6 |
| 497 | Haujlawm | boolean | checkbox | Haujlawm_4 |
| 498 | Peb yuav sau hom lus li cas rau tus neeg no? | string | text | Peb yuav sau hom lus li cas rau tus neeg no_2 |
| 499 | Hom lus twg no xav peb mus hais lus rau nws nyob rau hauv? | string | text | Hom lus twg no xav peb mus hais lus rau nws nyob rau hauv_2 |
| 500 | Tus neeg no yog: Txiv neeg Poj niam | string | text | Tus neeg no yog Txiv neeg Poj niam_2 |
| 501 | undefined | boolean | checkbox | undefined_39 |
| 502 | undefined | boolean | checkbox | undefined_40 |
| 503 | Ib leej | boolean | checkbox | Ib leej_3 |
| 504 | Tsis tau sib yuav | boolean | checkbox | Tsis tau sib yuav_2 |
| 505 | Sib yuav | boolean | checkbox | Sib yuav_3 |
| 506 | Nrauj | boolean | checkbox | Nrauj_2 |
| 507 | Muaj npe uas khwv | boolean | checkbox | Muaj npe uas khwv_3 |
| 508 | Poj ntsuam | boolean | checkbox | Poj ntsuam_2 |
| 509 | Hnub yug (hli / nruab hnub / xyoo) | string | text | Hnub yug hli nruab hnub xyoo_2 |
| 510 | Yog | boolean | checkbox | Yog_45 |
| 511 | Tsis Yog | boolean | checkbox | Tsis Yog_45 |
| 512 | Yog tias muaj, muaj pes tsawg tus me nyuam mos yuav tau | string | text | Yog tias muaj muaj pes tsawg tus me nyuam mos yuav tau_2 |
| 513 | Hnub uas yuav los yug | string | text | Hnub uas yuav los yug_3 |
| 514 | Yog Yog tias muaj, teb cov lus nug hauv qab no | boolean | checkbox | Yog Yog tias muaj teb cov lus nug hauv qab no_10 |
| 515 | Tsis Yog Yog tsis muaj, SSN ntawv yog nyob ntawm yeem | boolean | checkbox | Tsis Yog Yog tsis muaj SSN ntawv yog nyob ntawm yeem_2 |
| 516 | Yog hais tias tus neeg no tsis muaj tus SSN yog vim li | boolean | checkbox | Yog hais tias tus neeg no tsis muaj tus SSN yog vim li_2 |
| 517 | undefined | boolean | checkbox | undefined_41 |
| 518 | Kev ntseeg zam | boolean | checkbox | Kev ntseeg zam_3 |
| 519 | Adoption Taxpayer Identification Number (ATIN | string | text | Adoption Taxpayer Identification Number ATIN_3 |
| 520 | undefined | string | text | undefined_42 |
| 521 | undefined | string | text | undefined_43 |
| 522 | undefined | string | text | undefined_44 |
| 523 | Individual Taxpayer Identification Number (ITIN | string | text | Individual Taxpayer Identification Number ITIN_3 |
| 524 | Tsis tsim nyog rau tus SSN | boolean | checkbox | Tsis tsim nyog rau tus SSN_2 |
| 525 | Yog | boolean | checkbox | Yog_46 |
| 526 | Tsis Yog | boolean | checkbox | Tsis Yog_46 |
| 527 | Yog | boolean | checkbox | Yog_47 |
| 528 | Tus thawj ntawm cov tsev neeg | boolean | checkbox | Tus thawj ntawm cov tsev neeg_2 |
| 529 | Ywj siab | boolean | checkbox | Ywj siab_2 |
| 530 | Muaj txij nkawm nyias ua nyias | boolean | checkbox | Muaj txij nkawm nyias ua nyias_2 |
| 531 | Tsis Yog | boolean | checkbox | Tsis Yog_47 |
| 532 | Yog | boolean | checkbox | Yog_48 |
| 533 | undefined | boolean | checkbox | undefined_45 |
| 534 | Tus neeg no yog ib tug niam txiv tsis tau tus me nyuam uas tsis muaj teev rau | boolean | checkbox | Tus neeg no yog ib tug niam txiv tsis tau tus me nyuam uas tsis muaj teev rau_2 |
| 535 | Tsis Yog | boolean | checkbox | Tsis Yog_48 |
| 536 | Ib leeg | boolean | checkbox | Ib leeg_3 |
| 537 | Tus neeg | string | text | Tus neeg_3 |
| 538 | Tus neeg no yog ib tug niam txiv tsis tau me nyuam | boolean | checkbox | Tus neeg no yog ib tug niam txiv tsis tau me nyuam_3 |
| 539 | Muaj txij nkawm ua ke | boolean | checkbox | Muaj txij nkawm ua ke_2 |
| 540 | Yog | boolean | checkbox | Yog_49 |
| 541 | Tsis Yog | boolean | checkbox | Tsis Yog_49 |
| 542 | Yog | boolean | checkbox | Yog_50 |
| 543 | Tsis Yog | boolean | checkbox | Tsis Yog_50 |
| 544 | undefined | boolean | checkbox | undefined_46 |
| 545 | undefined | boolean | checkbox | undefined_47 |
| 546 | Yog tus neeg no tau pab nrog tu los yog kev pab cuam hauv tsev thiab hauv zej zog? Yog Tsis Yog | string | text | Yog tus neeg no tau pab nrog tu los yog kev pab cuam hauv tsev thiab hauv zej zog Yog Tsis Yog_2 |
| 547 | Yog | boolean | checkbox | Yog_51 |
| 548 | Tsis Yog | boolean | checkbox | Tsis Yog_51 |
| 549 | Yog Tau pom tias tus neeg no muaj fee rau lawv, mus Ntxuas E rau nplooj 27 | boolean | checkbox | Yog Tau pom tias tus neeg no muaj fee rau lawv mus Ntxuas E rau nplooj 27_2 |
| 550 | rau ib daim ntawv teev. Mam li sau tsab ntawv qhia no. Feem ntau cov ntawv lej yuav tus nawj npawb | string | text | rau ib daim ntawv teev Mam li sau tsab ntawv qhia no Feem ntau cov ntawv lej yuav tus nawj npawb_2 |
| 551 | Naj npawb ID | string | text | Naj npawb ID_2 |
| 552 | Lub teb chaws kev tshaj tawm tias | string | text | Lub teb chaws kev tshaj tawm tias_2 |
| 553 | undefined | string | text | undefined_48 |
| 554 | Hnub tas kas nuv | string | text | Hnub tas kas nuv_3 |
| 555 | Yog | boolean | checkbox | Yog_52 |
| 556 | Tsis Yog | boolean | checkbox | Tsis Yog_52 |
| 557 | Yog | boolean | checkbox | Yog_53 |
| 558 | Tsis Yog | boolean | checkbox | Tsis Yog_53 |
| 559 | Yog | boolean | checkbox | Yog_54 |
| 560 | Tsis Yog | boolean | checkbox | Tsis Yog_54 |
| 561 | Yog | boolean | checkbox | Yog_55 |
| 562 | Tsis Yog | boolean | checkbox | Tsis Yog_55 |
| 563 | Yog | boolean | checkbox | Yog_56 |
| 564 | Yog | boolean | checkbox | Yog_57 |
| 565 | Tsis Yog | boolean | checkbox | Tsis Yog_56 |
| 566 | Tsis Yog | boolean | checkbox | Tsis Yog_57 |
| 567 | Yog tias muaj, yog tus neeg no saib xyuas tus me nyuam los yog cov me nyuam | string | text | Yog tias muaj yog tus neeg no saib xyuas tus me nyuam los yog cov me nyuam_2 |
| 568 | Yog | boolean | checkbox | Yog_58 |
| 569 | Tsis Yog | boolean | checkbox | Tsis Yog_58 |
| 570 | Yog | boolean | checkbox | Yog_59 |
| 571 | Tsis Yog | boolean | checkbox | Tsis Yog_59 |
| 572 | Yog | boolean | checkbox | Yog_60 |
| 573 | Tsis Yog | boolean | checkbox | Tsis Yog_60 |
| 574 | Yog | boolean | checkbox | Yog_61 |
| 575 | Tsis Yog | boolean | checkbox | Tsis Yog_61 |
| 576 | Cov niam txiv muaj coob npaum li cas nyob nrog tus neeg no | string | text | Cov niam txiv muaj coob npaum li cas nyob nrog tus neeg no_2 |
| 577 | Tus neeg no puas yog 18 xyoo thiab yau dua | string | text | Tus neeg no puas yog 18 xyoo thiab yau dua_2 |
| 578 | Yog | boolean | checkbox | Yog_62 |
| 579 | Tsis Yog | boolean | checkbox | Tsis Yog_62 |
| 580 | Cov haiv neeg no tus neeg ntawd yog dab tsi? (yeem; khij txhua qhov uas phim) Dawb Dub los sis African Asmeslivkas Asmeslivkas Khab los yog Alaska Ib Txwm Neeg Esxias Khab Qhab meem Suav Filipino Hmoob Nyiv pooj Korean Nplog Nyab laj Ib Txwm Hawaiian Guamanian los yog Chamorro Samoan Lwm yam | string | text | Cov haiv neeg no tus neeg ntawd yog dab tsi yeem khij txhua qhov uas phim Dawb Dub los sis African Asmeslivkas Asmeslivkas Khab los yog Alaska Ib Txwm Neeg Esxias Khab Qhab meem Suav Filipino Hmoob Nyiv pooj Korean Nplog Nyab laj Ib Txwm Hawaiian Guamanian los yog Chamorro Samoan Lwm yam_2 |
| 581 | Neeg Esxias Khab | boolean | checkbox | Neeg Esxias Khab_3 |
| 582 | Qhab meem | boolean | checkbox | Qhab meem_3 |
| 583 | Suav | boolean | checkbox | Suav_3 |
| 584 | Filipino | boolean | checkbox | Filipino_3 |
| 585 | Hmoob | boolean | checkbox | Hmoob_3 |
| 586 | Dawb | boolean | checkbox | Dawb_3 |
| 587 | Dub los sis African | boolean | checkbox | Dub los sis African_3 |
| 588 | Asmeslivkas Khab | boolean | checkbox | Asmeslivkas Khab_3 |
| 589 | Yog | boolean | checkbox | Yog_63 |
| 590 | Tsis Yog | boolean | checkbox | Tsis Yog_63 |
| 591 | Nyiv pooj | boolean | checkbox | Nyiv pooj_3 |
| 592 | Korean | boolean | checkbox | Korean_3 |
| 593 | Nplog | boolean | checkbox | Nplog_3 |
| 594 | Nyab laj | boolean | checkbox | Nyab laj_3 |
| 595 | Ib Txwm Hawaiian | boolean | checkbox | Ib Txwm Hawaiian_3 |
| 596 | Guamanian los | boolean | checkbox | Guamanian los_3 |
| 597 | Samoan | boolean | checkbox | Samoan_3 |
| 598 | Lwm yam | boolean | checkbox | Lwm yam_7 |
| 599 | undefined | string | text | undefined_49 |
| 600 | Mexican, Mexican Asmeslivkas, Chicano | boolean | checkbox | Mexican Mexican Asmeslivkas Chicano_3 |
| 601 | Salvadoran | boolean | checkbox | Salvadoran_3 |
| 602 | Cuban | boolean | checkbox | Cuban_3 |
| 603 | Lwm yam Hispanic, Latino, los sis Spanish | boolean | checkbox | Lwm yam Hispanic Latino los sis Spanish_3 |
| 604 | Guatemalan | boolean | checkbox | Guatemalan_3 |
| 605 | Puerto Rican | boolean | checkbox | Puerto Rican_3 |
| 606 | keeb kwm | string | text | keeb kwm_3 |
| 607 | Khij no yog tias tus neeg no yog ib tug neeg Asmeslivkas Khab los yog Alaska ib Txwm, thiab sau Ntxuas A nyob rau phab 20 thiab 21 | boolean | checkbox | Khij no yog tias tus neeg no yog ib tug neeg Asmeslivkas Khab los yog Alaska ib Txwm thiab sau Ntxuas A nyob rau phab 20 thiab 21_2 |
| 608 | Yog Yog tias muaj, teb cov lus nug hauv qab no | boolean | checkbox | Yog Yog tias muaj teb cov lus nug hauv qab no_11 |
| 609 | Tsis Yog Yog tsis muaj, mus rau lwm yam nyiaj tau los rau ntawm nplooj ntawv no | boolean | checkbox | Tsis Yog Yog tsis muaj mus rau lwm yam nyiaj tau los rau ntawm nplooj ntawv no_4 |
| 610 | Teev: Muaj pes tsawg teev ib as thiv twg | string | text | Teev Muaj pes tsawg teev ib as thiv twg_13 |
| 611 | undefined | boolean | checkbox | undefined_50 |
| 612 | undefined | boolean | checkbox | undefined_51 |
| 613 | Txhua hnub: Muaj pes tsawg hnub ib as thiv twg | string | text | Txhua hnub Muaj pes tsawg hnub ib as thiv twg_13 |
| 614 | Txhua as thiv | boolean | checkbox | Txhua as thiv_13 |
| 615 | Txhua ob as thiv | boolean | checkbox | Txhua ob as thiv_13 |
| 616 | Ob zaug tuaj ib hli | boolean | checkbox | Ob zaug tuaj ib hli_13 |
| 617 | Txhua hli | boolean | checkbox | Txhua hli_13 |
| 618 | Txhua peb hli | boolean | checkbox | Txhua peb hli_13 |
| 619 | Txhua rau hli | boolean | checkbox | Txhua rau hli_13 |
| 620 | Txhua xyoo | boolean | checkbox | Txhua xyoo_13 |
| 621 | Ib zaum them (Saib FAQ #33 ntawn phab 33 | boolean | checkbox | Ib zaum them Saib FAQ 33 ntawn phab 33_13 |
| 622 | Chaw hauj lwm npe (yeem) | string | text | Chaw hauj lwm npe yeem_3 |
| 623 | Tus neeg no tau ntau npaum cas (ua ntej se | string | text | Tus neeg no tau ntau npaum cas ua ntej se_3 |
| 624 | Teev: Muaj pes tsawg teev ib as thiv twg | string | text | Teev Muaj pes tsawg teev ib as thiv twg_14 |
| 625 | undefined | boolean | checkbox | undefined_52 |
| 626 | undefined | boolean | checkbox | undefined_53 |
| 627 | Txhua hnub: Muaj pes tsawg hnub ib as thiv twg | string | text | Txhua hnub Muaj pes tsawg hnub ib as thiv twg_14 |
| 628 | Txhua as thiv | boolean | checkbox | Txhua as thiv_14 |
| 629 | Txhua ob as thiv | boolean | checkbox | Txhua ob as thiv_14 |
| 630 | Ob zaug tuaj ib hli | boolean | checkbox | Ob zaug tuaj ib hli_14 |
| 631 | Txhua hli | boolean | checkbox | Txhua hli_14 |
| 632 | Txhua peb hli | boolean | checkbox | Txhua peb hli_14 |
| 633 | Txhua rau hli | boolean | checkbox | Txhua rau hli_14 |
| 634 | Txhua xyoo | boolean | checkbox | Txhua xyoo_14 |
| 635 | Ib zaum them (Saib FAQ #33 ntawn phab 33 | boolean | checkbox | Ib zaum them Saib FAQ 33 ntawn phab 33_14 |
| 636 | Chaw hauj lwm npe (yeem) | string | text | Chaw hauj lwm npe yeem_4 |
| 637 | Tus neeg no tau ntau npaum cas (ua ntej se | string | text | Tus neeg no tau ntau npaum cas ua ntej se_4 |
| 638 | Yog Yog tias muaj, teb cov lus nug hauv qab no | boolean | checkbox | Yog Yog tias muaj teb cov lus nug hauv qab no_12 |
| 639 | Tsis Yog Yog tsis muaj, mus rau lwm yam nyiaj tau los rau ntawm nplooj ntawv no | boolean | checkbox | Tsis Yog Yog tsis muaj mus rau lwm yam nyiaj tau los rau ntawm nplooj ntawv no_5 |
| 640 | Hom haujlwm | string | text | Hom haujlwm_3 |
| 641 | Nyiaj npaum li cas los nqa yuav tus neeg no tau los ntawm kev ua haujlwm rau tug kheej lub hlis no | string | text | Nyiaj npaum li cas los nqa yuav tus neeg no tau los ntawm kev ua haujlwm rau tug kheej lub hlis no_3 |
| 642 | Yog Yog tias muaj, teb cov lus nug hauv qab no | boolean | checkbox | Yog Yog tias muaj teb cov lus nug hauv qab no_13 |
| 643 | Tsis Yog Yog tsis muaj, mus rau lwm yam nyiaj tau los rau ntawm nplooj ntawv no | boolean | checkbox | Tsis Yog Yog tsis muaj mus rau lwm yam nyiaj tau los rau ntawm nplooj ntawv no_6 |
| 644 | Hom haujlwm | string | text | Hom haujlwm_4 |
| 645 | Nyiaj npaum li cas los nqa yuav tus neeg no tau los ntawm kev ua haujlwm rau tug kheej lub hlis no | string | text | Nyiaj npaum li cas los nqa yuav tus neeg no tau los ntawm kev ua haujlwm rau tug kheej lub hlis no_4 |
| 646 | Yog Yog yog, teb cov lus nug hauv qab no | boolean | checkbox | Yog Yog yog teb cov lus nug hauv qab no_2 |
| 647 | Tsis Yog Yog tsis yog, mus rau nyiaj tau hloov ntawm phab no | boolean | checkbox | Tsis Yog Yog tsis yog mus rau nyiaj tau hloov ntawm phab no_2 |
| 648 | Tus neeg no tau them puas tsawg zaum? (khij ib qho | boolean | checkbox | Tus neeg no tau them puas tsawg zaum khij ib qho_2 |
| 649 | undefined | boolean | checkbox | undefined_54 |
| 650 | Txhua hnub: Muaj pes tsawg hnub ib as thiv twg | string | text | Txhua hnub Muaj pes tsawg hnub ib as thiv twg_15 |
| 651 | Teev: Muaj pes tsawg teev ib as thiv twg | string | text | Teev Muaj pes tsawg teev ib as thiv twg_15 |
| 652 | Txhua as thiv | boolean | checkbox | Txhua as thiv_15 |
| 653 | Txhua ob as thiv | boolean | checkbox | Txhua ob as thiv_15 |
| 654 | Ob zaug tuaj ib hli | boolean | checkbox | Ob zaug tuaj ib hli_15 |
| 655 | Txhua hli | boolean | checkbox | Txhua hli_15 |
| 656 | Txhua peb hli | boolean | checkbox | Txhua peb hli_15 |
| 657 | Txhua rau hli | boolean | checkbox | Txhua rau hli_15 |
| 658 | Txhua xyoo | boolean | checkbox | Txhua xyoo_15 |
| 659 | Ib zaum them (Saib FAQ #33 ntawn phab 33 | boolean | checkbox | Ib zaum them Saib FAQ 33 ntawn phab 33_15 |
| 660 | Qhov twg tau nyiaj los ntawm?_Row_1 | string | text | Qhov twg tau nyiaj los ntawmRow1_3 |
| 661 | Teev: Muaj pes tsawg teev ib as thiv twg | string | text | Teev Muaj pes tsawg teev ib as thiv twg_16 |
| 662 | undefined | boolean | checkbox | undefined_55 |
| 663 | undefined | boolean | checkbox | undefined_56 |
| 664 | Txhua hnub: Muaj pes tsawg hnub ib as thiv twg | string | text | Txhua hnub Muaj pes tsawg hnub ib as thiv twg_16 |
| 665 | Txhua as thiv | boolean | checkbox | Txhua as thiv_16 |
| 666 | Txhua ob as thiv | boolean | checkbox | Txhua ob as thiv_16 |
| 667 | Ob zaug tuaj ib hli | boolean | checkbox | Ob zaug tuaj ib hli_16 |
| 668 | Txhua hli | boolean | checkbox | Txhua hli_16 |
| 669 | Txhua peb hli | boolean | checkbox | Txhua peb hli_16 |
| 670 | undefined | string | text | fill_20_2 |
| 671 | Txhua rau hli | boolean | checkbox | Txhua rau hli_16 |
| 672 | Txhua xyoo | boolean | checkbox | Txhua xyoo_16 |
| 673 | Ib zaum them (Saib FAQ #33 ntawn phab 33 | boolean | checkbox | Ib zaum them Saib FAQ 33 ntawn phab 33_16 |
| 674 | undefined | string | text | undefined_57 |
| 675 | undefined | string | text | undefined_58 |
| 676 | Yog Yog yog, teb cov lus nug hauv qab | boolean | checkbox | Yog Yog yog teb cov lus nug hauv qab_2 |
| 677 | Tsis Yog Yog tsis yog, mus rau lwm phab | boolean | checkbox | Tsis Yog Yog tsis yog mus rau lwm phab_2 |
| 678 | Tus neeg no tau los yog them rau tus nqi txo puas tsawg? (khij ib qho | boolean | checkbox | Tus neeg no tau los yog them rau tus nqi txo puas tsawg khij ib qho_2 |
| 679 | Txhua hnub: Muaj pes tsawg hnub ib as thiv twg | boolean | checkbox | Txhua hnub Muaj pes tsawg hnub ib as thiv twg_17 |
| 680 | Nyiaj them | boolean | checkbox | Nyiaj them_5 |
| 681 | Me nyuam kawm ntawv | boolean | checkbox | Me nyuam kawm ntawv_5 |
| 682 | Lwm yam | boolean | checkbox | Lwm yam_8 |
| 683 | Teev: Muaj pes tsawg teev ib as thiv twg | string | text | Teev Muaj pes tsawg teev ib as thiv twg_17 |
| 684 | Txhua as thiv | boolean | checkbox | Txhua as thiv_17 |
| 685 | Txhua ob as thiv | boolean | checkbox | Txhua ob as thiv_17 |
| 686 | Ob zaug tuaj ib hli | boolean | checkbox | Ob zaug tuaj ib hli_17 |
| 687 | Txhua hli | boolean | checkbox | Txhua hli_17 |
| 688 | Txhua peb hli | boolean | checkbox | Txhua peb hli_17 |
| 689 | Txhua rau hli | boolean | checkbox | Txhua rau hli_17 |
| 690 | Txhua xyoo | boolean | checkbox | Txhua xyoo_17 |
| 691 | Ib zaum them (Saib FAQ #33 ntawn phab 33 | boolean | checkbox | Ib zaum them Saib FAQ 33 ntawn phab 33_17 |
| 692 | Pes tsawg? $ | string | text | Pes tsawg_3 |
| 693 | Nyiaj them | boolean | checkbox | Nyiaj them_6 |
| 694 | Me nyuam kawm ntawv | boolean | checkbox | Me nyuam kawm ntawv_6 |
| 695 | Lwm yam | boolean | checkbox | Lwm yam_9 |
| 696 | Teev: Muaj pes tsawg teev ib as thiv twg | string | text | Teev Muaj pes tsawg teev ib as thiv twg_18 |
| 697 | undefined | boolean | checkbox | undefined_59 |
| 698 | Txhua hnub: Muaj pes tsawg hnub ib as thiv twg | boolean | checkbox | Txhua hnub Muaj pes tsawg hnub ib as thiv twg_18 |
| 699 | Txhua as thiv | boolean | checkbox | Txhua as thiv_18 |
| 700 | Txhua ob as thiv | boolean | checkbox | Txhua ob as thiv_18 |
| 701 | Ob zaug tuaj ib hli | boolean | checkbox | Ob zaug tuaj ib hli_18 |
| 702 | Txhua hli | boolean | checkbox | Txhua hli_18 |
| 703 | Txhua peb hli | boolean | checkbox | Txhua peb hli_18 |
| 704 | Txhua rau hli | boolean | checkbox | Txhua rau hli_18 |
| 705 | Txhua xyoo | boolean | checkbox | Txhua xyoo_18 |
| 706 | Ib zaum them (Saib FAQ #33 ntawn phab 33 | boolean | checkbox | Ib zaum them Saib FAQ 33 ntawn phab 33_18 |
| 707 | undefined | string | text | fill_24_2 |
| 708 | Lub npe Npe nruab nrab Lub xeem Cov tsiaj ntawv tom qab (piv txwv: Sr., Jr., III, IV) | string | text | Lub npe Npe nruab nrab Lub xeem Cov tsiaj ntawv tom qab piv txwv Sr Jr III IV_3 |
| 709 | Kev txheeb ze rau koj | string | text | Kev txheeb ze rau koj_3 |
| 710 | Khij ntawm no yog tus neeg ntawd qhov chaw nyob tom tsev yog ib yam li kev tiv tauj lub ntsiab qhov chaw nyob tom tsev | boolean | checkbox | Khij ntawm no yog tus neeg ntawd qhov chaw nyob tom tsev yog ib yam li kev tiv tauj lub ntsiab qhov chaw nyob tom tsev_3 |
| 711 | Zos (tsev chaw nyob) | string | text | Zos tsev chaw nyob_4 |
| 712 | Xeev | string | text | Xeev_7 |
| 713 | Zij khauj | string | text | Zij khauj_7 |
| 714 | Lub nroog | string | text | Lub nroog_7 |
| 715 | Khij no yog tias tus neeg no tsis muaj ib qhov chaw nyob tom tsev. Koj yuav tsum muab rau peb lub chaw nyob hauv qab no | boolean | checkbox | Khij no yog tias tus neeg no tsis muaj ib qhov chaw nyob tom tsev Koj yuav tsum muab rau peb lub chaw nyob hauv qab no_3 |
| 716 | Khij no yog tias tus neeg no lub chaw nyob uas yog tib yam li tus thawj cuag lub chaw nyob | boolean | checkbox | Khij no yog tias tus neeg no lub chaw nyob uas yog tib yam li tus thawj cuag lub chaw nyob_3 |
| 717 | Zos (chaw nyob xa ntawv) | string | text | Zos chaw nyob xa ntawv_4 |
| 718 | Xeev | string | text | Xeev_8 |
| 719 | Zij khauj | string | text | Zij khauj_8 |
| 720 | Lub nroog | string | text | Lub nroog_8 |
| 721 | Tus xov tooj Zoo tshaj hu mus cuag tus neeg no Tsev Xov tooj ntawm tes Haujlawm Naj npawb: ( ) | string | text | Tus xov tooj Zoo tshaj hu mus cuag tus neeg no Tsev Xov tooj ntawm tes Haujlawm Naj npawb_3 |
| 722 | Tsev | boolean | checkbox | Tsev_7 |
| 723 | Xov tooj ntawm tes | boolean | checkbox | Xov tooj ntawm tes_7 |
| 724 | Haujlawm | boolean | checkbox | Haujlawm_5 |
| 725 | Tsev | boolean | checkbox | Tsev_8 |
| 726 | Xov tooj ntawm tes | boolean | checkbox | Xov tooj ntawm tes_8 |
| 727 | Haujlawm | boolean | checkbox | Haujlawm_6 |
| 728 | Peb yuav sau hom lus li cas rau tus neeg no? | string | text | Peb yuav sau hom lus li cas rau tus neeg no_3 |
| 729 | Hom lus twg no xav peb mus hais lus rau nws nyob rau hauv? | string | text | Hom lus twg no xav peb mus hais lus rau nws nyob rau hauv_3 |
| 730 | Tus neeg no yog: Txiv neeg Poj niam | string | text | Tus neeg no yog Txiv neeg Poj niam_3 |
| 731 | undefined | boolean | checkbox | undefined_60 |
| 732 | undefined | boolean | checkbox | undefined_61 |
| 733 | Ib leej | boolean | checkbox | Ib leej_4 |
| 734 | Tsis tau sib yuav | boolean | checkbox | Tsis tau sib yuav_3 |
| 735 | Sib yuav | boolean | checkbox | Sib yuav_4 |
| 736 | Nrauj | boolean | checkbox | Nrauj_3 |
| 737 | Muaj npe uas khwv | boolean | checkbox | Muaj npe uas khwv_4 |
| 738 | Poj ntsuam | boolean | checkbox | Poj ntsuam_3 |
| 739 | Hnub yug (hli / nruab hnub / xyoo) | string | text | Hnub yug hli nruab hnub xyoo_3 |
| 740 | Yog | boolean | checkbox | Yog_64 |
| 741 | Tsis Yog | boolean | checkbox | Tsis Yog_64 |
| 742 | Yog tias muaj, muaj pes tsawg tus me nyuam mos yuav tau | string | text | Yog tias muaj muaj pes tsawg tus me nyuam mos yuav tau_3 |
| 743 | Hnub uas yuav los yug | string | text | Hnub uas yuav los yug_4 |
| 744 | Yog Yog tias muaj, teb cov lus nug hauv qab no | boolean | checkbox | Yog Yog tias muaj teb cov lus nug hauv qab no_14 |
| 745 | Tsis Yog Yog tsis muaj, SSN ntawv yog nyob ntawm yeem | boolean | checkbox | Tsis Yog Yog tsis muaj SSN ntawv yog nyob ntawm yeem_3 |
| 746 | Yog hais tias tus neeg no tsis muaj tus SSN yog vim li | boolean | checkbox | Yog hais tias tus neeg no tsis muaj tus SSN yog vim li_3 |
| 747 | undefined | boolean | checkbox | undefined_62 |
| 748 | Kev ntseeg zam | boolean | checkbox | Kev ntseeg zam_4 |
| 749 | Adoption Taxpayer Identification Number (ATIN | string | text | Adoption Taxpayer Identification Number ATIN_4 |
| 750 | undefined | string | text | undefined_63 |
| 751 | undefined | string | text | undefined_64 |
| 752 | undefined | string | text | undefined_65 |
| 753 | Individual Taxpayer Identification Number (ITIN | string | text | Individual Taxpayer Identification Number ITIN_4 |
| 754 | Tsis tsim nyog rau tus SSN | boolean | checkbox | Tsis tsim nyog rau tus SSN_3 |
| 755 | Yog | boolean | checkbox | Yog_65 |
| 756 | Tsis Yog | boolean | checkbox | Tsis Yog_65 |
| 757 | Yog | boolean | checkbox | Yog_66 |
| 758 | Tus thawj ntawm cov tsev neeg | boolean | checkbox | Tus thawj ntawm cov tsev neeg_3 |
| 759 | Ywj siab | boolean | checkbox | Ywj siab_3 |
| 760 | Muaj txij nkawm nyias ua nyias | boolean | checkbox | Muaj txij nkawm nyias ua nyias_3 |
| 761 | Tsis Yog | boolean | checkbox | Tsis Yog_66 |
| 762 | Yog | boolean | checkbox | Yog_67 |
| 763 | undefined | boolean | checkbox | undefined_66 |
| 764 | Tus neeg no yog ib tug niam txiv tsis tau tus me nyuam uas tsis muaj teev rau | boolean | checkbox | Tus neeg no yog ib tug niam txiv tsis tau tus me nyuam uas tsis muaj teev rau_3 |
| 765 | Tsis Yog | boolean | checkbox | Tsis Yog_67 |
| 766 | Ib leeg | boolean | checkbox | Ib leeg_4 |
| 767 | Tus neeg | string | text | Tus neeg_4 |
| 768 | Tus neeg no yog ib tug niam txiv tsis tau me nyuam | boolean | checkbox | Tus neeg no yog ib tug niam txiv tsis tau me nyuam_4 |
| 769 | Muaj txij nkawm ua ke | boolean | checkbox | Muaj txij nkawm ua ke_3 |
| 770 | Yog | boolean | checkbox | Yog_68 |
| 771 | Tsis Yog | boolean | checkbox | Tsis Yog_68 |
| 772 | Yog | boolean | checkbox | Yog_69 |
| 773 | Tsis Yog | boolean | checkbox | Tsis Yog_69 |
| 774 | undefined | boolean | checkbox | undefined_67 |
| 775 | undefined | boolean | checkbox | undefined_68 |
| 776 | Yog tus neeg no tau pab nrog tu los yog kev pab cuam hauv tsev thiab hauv zej zog? Yog Tsis Yog | string | text | Yog tus neeg no tau pab nrog tu los yog kev pab cuam hauv tsev thiab hauv zej zog Yog Tsis Yog_3 |
| 777 | Yog | boolean | checkbox | Yog_70 |
| 778 | Tsis Yog | boolean | checkbox | Tsis Yog_70 |
| 779 | Yog Tau pom tias tus neeg no muaj fee rau lawv, mus Ntxuas E rau nplooj 27 | boolean | checkbox | Yog Tau pom tias tus neeg no muaj fee rau lawv mus Ntxuas E rau nplooj 27_3 |
| 780 | rau ib daim ntawv teev. Mam li sau tsab ntawv qhia no. Feem ntau cov ntawv lej yuav tus nawj npawb | string | text | rau ib daim ntawv teev Mam li sau tsab ntawv qhia no Feem ntau cov ntawv lej yuav tus nawj npawb_3 |
| 781 | Naj npawb ID | string | text | Naj npawb ID_3 |
| 782 | Lub teb chaws kev tshaj tawm tias | string | text | Lub teb chaws kev tshaj tawm tias_3 |
| 783 | undefined | string | text | undefined_69 |
| 784 | Hnub tas kas nuv | string | text | Hnub tas kas nuv_4 |
| 785 | Yog | boolean | checkbox | Yog_71 |
| 786 | Tsis Yog | boolean | checkbox | Tsis Yog_71 |
| 787 | Yog | boolean | checkbox | Yog_72 |
| 788 | Tsis Yog | boolean | checkbox | Tsis Yog_72 |
| 789 | Yog | boolean | checkbox | Yog_73 |
| 790 | Tsis Yog | boolean | checkbox | Tsis Yog_73 |
| 791 | Yog | boolean | checkbox | Yog_74 |
| 792 | Tsis Yog | boolean | checkbox | Tsis Yog_74 |
| 793 | Yog | boolean | checkbox | Yog_75 |
| 794 | Yog | boolean | checkbox | Yog_76 |
| 795 | Tsis Yog | boolean | checkbox | Tsis Yog_75 |
| 796 | Tsis Yog | boolean | checkbox | Tsis Yog_76 |
| 797 | Yog tias muaj, yog tus neeg no saib xyuas tus me nyuam los yog cov me nyuam | string | text | Yog tias muaj yog tus neeg no saib xyuas tus me nyuam los yog cov me nyuam_3 |
| 798 | Yog | boolean | checkbox | Yog_77 |
| 799 | Tsis Yog | boolean | checkbox | Tsis Yog_77 |
| 800 | Yog | boolean | checkbox | Yog_78 |
| 801 | Tsis Yog | boolean | checkbox | Tsis Yog_78 |
| 802 | Yog | boolean | checkbox | Yog_79 |
| 803 | Tsis Yog | boolean | checkbox | Tsis Yog_79 |
| 804 | Yog | boolean | checkbox | Yog_80 |
| 805 | Tsis Yog | boolean | checkbox | Tsis Yog_80 |
| 806 | Cov niam txiv muaj coob npaum li cas nyob nrog tus neeg no | string | text | Cov niam txiv muaj coob npaum li cas nyob nrog tus neeg no_3 |
| 807 | Tus neeg no puas yog 18 xyoo thiab yau dua | string | text | Tus neeg no puas yog 18 xyoo thiab yau dua_3 |
| 808 | Yog | boolean | checkbox | Yog_81 |
| 809 | Tsis Yog | boolean | checkbox | Tsis Yog_81 |
| 810 | Cov haiv neeg no tus neeg ntawd yog dab tsi? (yeem; khij txhua qhov uas phim) Dawb Dub los sis African Asmeslivkas Asmeslivkas Khab los yog Alaska Ib Txwm Neeg Esxias Khab Qhab meem Suav Filipino Hmoob Nyiv pooj Korean Nplog Nyab laj Ib Txwm Hawaiian Guamanian los yog Chamorro Samoan Lwm yam | string | text | Cov haiv neeg no tus neeg ntawd yog dab tsi yeem khij txhua qhov uas phim Dawb Dub los sis African Asmeslivkas Asmeslivkas Khab los yog Alaska Ib Txwm Neeg Esxias Khab Qhab meem Suav Filipino Hmoob Nyiv pooj Korean Nplog Nyab laj Ib Txwm Hawaiian Guamanian los yog Chamorro Samoan Lwm yam_3 |
| 811 | Neeg Esxias Khab | boolean | checkbox | Neeg Esxias Khab_4 |
| 812 | Qhab meem | boolean | checkbox | Qhab meem_4 |
| 813 | Suav | boolean | checkbox | Suav_4 |
| 814 | Filipino | boolean | checkbox | Filipino_4 |
| 815 | Hmoob | boolean | checkbox | Hmoob_4 |
| 816 | Dawb | boolean | checkbox | Dawb_4 |
| 817 | Dub los sis African | boolean | checkbox | Dub los sis African_4 |
| 818 | Asmeslivkas Khab | boolean | checkbox | Asmeslivkas Khab_4 |
| 819 | Yog | boolean | checkbox | Yog_82 |
| 820 | Tsis Yog | boolean | checkbox | Tsis Yog_82 |
| 821 | Nyiv pooj | boolean | checkbox | Nyiv pooj_4 |
| 822 | Korean | boolean | checkbox | Korean_4 |
| 823 | Nplog | boolean | checkbox | Nplog_4 |
| 824 | Nyab laj | boolean | checkbox | Nyab laj_4 |
| 825 | Ib Txwm Hawaiian | boolean | checkbox | Ib Txwm Hawaiian_4 |
| 826 | Guamanian los | boolean | checkbox | Guamanian los_4 |
| 827 | Samoan | boolean | checkbox | Samoan_4 |
| 828 | Lwm yam | boolean | checkbox | Lwm yam_10 |
| 829 | undefined | string | text | undefined_70 |
| 830 | Mexican, Mexican Asmeslivkas, Chicano | boolean | checkbox | Mexican Mexican Asmeslivkas Chicano_4 |
| 831 | Salvadoran | boolean | checkbox | Salvadoran_4 |
| 832 | Cuban | boolean | checkbox | Cuban_4 |
| 833 | Lwm yam Hispanic, Latino, los sis Spanish | boolean | checkbox | Lwm yam Hispanic Latino los sis Spanish_4 |
| 834 | Guatemalan | boolean | checkbox | Guatemalan_4 |
| 835 | Puerto Rican | boolean | checkbox | Puerto Rican_4 |
| 836 | keeb kwm | string | text | keeb kwm_4 |
| 837 | Khij no yog tias tus neeg no yog ib tug neeg Asmeslivkas Khab los yog Alaska ib Txwm, thiab sau Ntxuas A nyob rau phab 20 thiab 21 | boolean | checkbox | Khij no yog tias tus neeg no yog ib tug neeg Asmeslivkas Khab los yog Alaska ib Txwm thiab sau Ntxuas A nyob rau phab 20 thiab 21_3 |
| 838 | Yog Yog tias muaj, teb cov lus nug hauv qab no | boolean | checkbox | Yog Yog tias muaj teb cov lus nug hauv qab no_15 |
| 839 | Tsis Yog Yog tsis muaj, mus rau lwm yam nyiaj tau los rau ntawm nplooj ntawv no | boolean | checkbox | Tsis Yog Yog tsis muaj mus rau lwm yam nyiaj tau los rau ntawm nplooj ntawv no_7 |
| 840 | Teev: Muaj pes tsawg teev ib as thiv twg | string | text | Teev Muaj pes tsawg teev ib as thiv twg_19 |
| 841 | undefined | boolean | checkbox | undefined_71 |
| 842 | undefined | boolean | checkbox | undefined_72 |
| 843 | Txhua hnub: Muaj pes tsawg hnub ib as thiv twg | string | text | Txhua hnub Muaj pes tsawg hnub ib as thiv twg_19 |
| 844 | Txhua as thiv | boolean | checkbox | Txhua as thiv_19 |
| 845 | Txhua ob as thiv | boolean | checkbox | Txhua ob as thiv_19 |
| 846 | Ob zaug tuaj ib hli | boolean | checkbox | Ob zaug tuaj ib hli_19 |
| 847 | Txhua hli | boolean | checkbox | Txhua hli_19 |
| 848 | Txhua peb hli | boolean | checkbox | Txhua peb hli_19 |
| 849 | Txhua rau hli | boolean | checkbox | Txhua rau hli_19 |
| 850 | Txhua xyoo | boolean | checkbox | Txhua xyoo_19 |
| 851 | Ib zaum them (Saib FAQ #33 ntawn phab 33 | boolean | checkbox | Ib zaum them Saib FAQ 33 ntawn phab 33_19 |
| 852 | Chaw hauj lwm npe (yeem) | string | text | Chaw hauj lwm npe yeem_5 |
| 853 | Tus neeg no tau ntau npaum cas (ua ntej se | string | text | Tus neeg no tau ntau npaum cas ua ntej se_5 |
| 854 | Teev: Muaj pes tsawg teev ib as thiv twg | string | text | Teev Muaj pes tsawg teev ib as thiv twg_20 |
| 855 | undefined | boolean | checkbox | undefined_73 |
| 856 | undefined | boolean | checkbox | undefined_74 |
| 857 | Txhua hnub: Muaj pes tsawg hnub ib as thiv twg | string | text | Txhua hnub Muaj pes tsawg hnub ib as thiv twg_20 |
| 858 | Txhua as thiv | boolean | checkbox | Txhua as thiv_20 |
| 859 | Txhua ob as thiv | boolean | checkbox | Txhua ob as thiv_20 |
| 860 | Ob zaug tuaj ib hli | boolean | checkbox | Ob zaug tuaj ib hli_20 |
| 861 | Txhua hli | boolean | checkbox | Txhua hli_20 |
| 862 | Txhua peb hli | boolean | checkbox | Txhua peb hli_20 |
| 863 | Txhua rau hli | boolean | checkbox | Txhua rau hli_20 |
| 864 | Txhua xyoo | boolean | checkbox | Txhua xyoo_20 |
| 865 | Ib zaum them (Saib FAQ #33 ntawn phab 33 | boolean | checkbox | Ib zaum them Saib FAQ 33 ntawn phab 33_20 |
| 866 | Chaw hauj lwm npe (yeem) | string | text | Chaw hauj lwm npe yeem_6 |
| 867 | Tus neeg no tau ntau npaum cas (ua ntej se | string | text | Tus neeg no tau ntau npaum cas ua ntej se_6 |
| 868 | Yog Yog tias muaj, teb cov lus nug hauv qab no | boolean | checkbox | Yog Yog tias muaj teb cov lus nug hauv qab no_16 |
| 869 | Tsis Yog Yog tsis muaj, mus rau lwm yam nyiaj tau los rau ntawm nplooj ntawv no | boolean | checkbox | Tsis Yog Yog tsis muaj mus rau lwm yam nyiaj tau los rau ntawm nplooj ntawv no_8 |
| 870 | Hom haujlwm | string | text | Hom haujlwm_5 |
| 871 | Nyiaj npaum li cas los nqa yuav tus neeg no tau los ntawm kev ua haujlwm rau tug kheej lub hlis no | string | text | Nyiaj npaum li cas los nqa yuav tus neeg no tau los ntawm kev ua haujlwm rau tug kheej lub hlis no_5 |
| 872 | Yog Yog tias muaj, teb cov lus nug hauv qab no | boolean | checkbox | Yog Yog tias muaj teb cov lus nug hauv qab no_17 |
| 873 | Tsis Yog Yog tsis muaj, mus rau lwm yam nyiaj tau los rau ntawm nplooj ntawv no | boolean | checkbox | Tsis Yog Yog tsis muaj mus rau lwm yam nyiaj tau los rau ntawm nplooj ntawv no_9 |
| 874 | Hom haujlwm | string | text | Hom haujlwm_6 |
| 875 | Nyiaj npaum li cas los nqa yuav tus neeg no tau los ntawm kev ua haujlwm rau tug kheej lub hlis no | string | text | Nyiaj npaum li cas los nqa yuav tus neeg no tau los ntawm kev ua haujlwm rau tug kheej lub hlis no_6 |
| 876 | Yog Yog yog, teb cov lus nug hauv qab no | boolean | checkbox | Yog Yog yog teb cov lus nug hauv qab no_3 |
| 877 | Tsis Yog Yog tsis yog, mus rau nyiaj tau hloov ntawm phab no | boolean | checkbox | Tsis Yog Yog tsis yog mus rau nyiaj tau hloov ntawm phab no_3 |
| 878 | Tus neeg no tau them puas tsawg zaum? (khij ib qho | boolean | checkbox | Tus neeg no tau them puas tsawg zaum khij ib qho_3 |
| 879 | undefined | boolean | checkbox | undefined_75 |
| 880 | Txhua hnub: Muaj pes tsawg hnub ib as thiv twg | string | text | Txhua hnub Muaj pes tsawg hnub ib as thiv twg_21 |
| 881 | Teev: Muaj pes tsawg teev ib as thiv twg | string | text | Teev Muaj pes tsawg teev ib as thiv twg_21 |
| 882 | Txhua as thiv | boolean | checkbox | Txhua as thiv_21 |
| 883 | Txhua ob as thiv | boolean | checkbox | Txhua ob as thiv_21 |
| 884 | Ob zaug tuaj ib hli | boolean | checkbox | Ob zaug tuaj ib hli_21 |
| 885 | Txhua hli | boolean | checkbox | Txhua hli_21 |
| 886 | Txhua peb hli | boolean | checkbox | Txhua peb hli_21 |
| 887 | Txhua rau hli | boolean | checkbox | Txhua rau hli_21 |
| 888 | Txhua xyoo | boolean | checkbox | Txhua xyoo_21 |
| 889 | Ib zaum them (Saib FAQ #33 ntawn phab 33 | boolean | checkbox | Ib zaum them Saib FAQ 33 ntawn phab 33_21 |
| 890 | Qhov twg tau nyiaj los ntawm?_Row_1 | string | text | Qhov twg tau nyiaj los ntawmRow1_4 |
| 891 | Teev: Muaj pes tsawg teev ib as thiv twg | string | text | Teev Muaj pes tsawg teev ib as thiv twg_22 |
| 892 | undefined | boolean | checkbox | undefined_76 |
| 893 | undefined | boolean | checkbox | undefined_77 |
| 894 | Txhua hnub: Muaj pes tsawg hnub ib as thiv twg | string | text | Txhua hnub Muaj pes tsawg hnub ib as thiv twg_22 |
| 895 | Txhua as thiv | boolean | checkbox | Txhua as thiv_22 |
| 896 | Txhua ob as thiv | boolean | checkbox | Txhua ob as thiv_22 |
| 897 | Ob zaug tuaj ib hli | boolean | checkbox | Ob zaug tuaj ib hli_22 |
| 898 | Txhua hli | boolean | checkbox | Txhua hli_22 |
| 899 | Txhua peb hli | boolean | checkbox | Txhua peb hli_22 |
| 900 | undefined | string | text | fill_20_3 |
| 901 | Txhua rau hli | boolean | checkbox | Txhua rau hli_22 |
| 902 | Txhua xyoo | boolean | checkbox | Txhua xyoo_22 |
| 903 | Ib zaum them (Saib FAQ #33 ntawn phab 33 | boolean | checkbox | Ib zaum them Saib FAQ 33 ntawn phab 33_22 |
| 904 | undefined | string | text | undefined_78 |
| 905 | undefined | string | text | undefined_79 |
| 906 | Yog Yog yog, teb cov lus nug hauv qab | boolean | checkbox | Yog Yog yog teb cov lus nug hauv qab_3 |
| 907 | Tsis Yog Yog tsis yog, mus rau lwm phab | boolean | checkbox | Tsis Yog Yog tsis yog mus rau lwm phab_3 |
| 908 | Tus neeg no tau los yog them rau tus nqi txo puas tsawg? (khij ib qho | boolean | checkbox | Tus neeg no tau los yog them rau tus nqi txo puas tsawg khij ib qho_3 |
| 909 | Txhua hnub: Muaj pes tsawg hnub ib as thiv twg | boolean | checkbox | Txhua hnub Muaj pes tsawg hnub ib as thiv twg_23 |
| 910 | Nyiaj them | boolean | checkbox | Nyiaj them_7 |
| 911 | Me nyuam kawm ntawv | boolean | checkbox | Me nyuam kawm ntawv_7 |
| 912 | Lwm yam | boolean | checkbox | Lwm yam_11 |
| 913 | Teev: Muaj pes tsawg teev ib as thiv twg | string | text | Teev Muaj pes tsawg teev ib as thiv twg_23 |
| 914 | Txhua as thiv | boolean | checkbox | Txhua as thiv_23 |
| 915 | Txhua ob as thiv | boolean | checkbox | Txhua ob as thiv_23 |
| 916 | Ob zaug tuaj ib hli | boolean | checkbox | Ob zaug tuaj ib hli_23 |
| 917 | Txhua hli | boolean | checkbox | Txhua hli_23 |
| 918 | Txhua peb hli | boolean | checkbox | Txhua peb hli_23 |
| 919 | Txhua rau hli | boolean | checkbox | Txhua rau hli_23 |
| 920 | Txhua xyoo | boolean | checkbox | Txhua xyoo_23 |
| 921 | Ib zaum them (Saib FAQ #33 ntawn phab 33 | boolean | checkbox | Ib zaum them Saib FAQ 33 ntawn phab 33_23 |
| 922 | Pes tsawg? $ | string | text | Pes tsawg_4 |
| 923 | Nyiaj them | boolean | checkbox | Nyiaj them_8 |
| 924 | Me nyuam kawm ntawv | boolean | checkbox | Me nyuam kawm ntawv_8 |
| 925 | Lwm yam | boolean | checkbox | Lwm yam_12 |
| 926 | Teev: Muaj pes tsawg teev ib as thiv twg | string | text | Teev Muaj pes tsawg teev ib as thiv twg_24 |
| 927 | undefined | boolean | checkbox | undefined_80 |
| 928 | Txhua hnub: Muaj pes tsawg hnub ib as thiv twg | boolean | checkbox | Txhua hnub Muaj pes tsawg hnub ib as thiv twg_24 |
| 929 | Txhua as thiv | boolean | checkbox | Txhua as thiv_24 |
| 930 | Txhua ob as thiv | boolean | checkbox | Txhua ob as thiv_24 |
| 931 | Ob zaug tuaj ib hli | boolean | checkbox | Ob zaug tuaj ib hli_24 |
| 932 | Txhua hli | boolean | checkbox | Txhua hli_24 |
| 933 | Txhua peb hli | boolean | checkbox | Txhua peb hli_24 |
| 934 | Txhua rau hli | boolean | checkbox | Txhua rau hli_24 |
| 935 | Txhua xyoo | boolean | checkbox | Txhua xyoo_24 |
| 936 | Ib zaum them (Saib FAQ #33 ntawn phab 33 | boolean | checkbox | Ib zaum them Saib FAQ 33 ntawn phab 33_24 |
| 937 | undefined | string | text | fill_24_3 |
| 938 | Chaw nyob | string | text | Chaw nyob |
| 939 | Chav # | string | text | Chav |
| 940 | Zos | string | text | Zos |
| 941 | Xeev | string | text | Xeev_9 |
| 942 | Zij Khaub | string | text | Zij Khaub |
| 943 | Lub nroog | string | text | Lub nroog_9 |
| 944 | Koj kos npe | string | text | Koj kos npe |
| 945 | Hnub tim | string | text | Hnub tim |
| 946 | 5 xyoos | boolean | checkbox | 5 xyoos |
| 947 | 4 xyoos | boolean | checkbox | 4 xyoos |
| 948 | 3 xyoos | boolean | checkbox | 3 xyoos |
| 949 | 2 xyoos | boolean | checkbox | 2 xyoos |
| 950 | 1 xyoos | boolean | checkbox | 1 xyoos |
| 951 | Kuv tsis xav Covered California mus kuaj kuv cov nyiaj ua se | boolean | checkbox | Kuv tsis xav Covered California mus kuaj kuv cov nyiaj ua se |
| 952 | Kos npe rau daim ntawv thov no los yog tso cai sawv cev | string | text | Kos npe rau daim ntawv thov no los yog tso cai sawv cev |
| 953 | Hnub tim | string | text | Hnub tim_2 |
| 954 | Tshawb Neeg Pab Sau Npe Lub Npe: | string | text | Tshawb Neeg Pab Sau Npe Lub Npe |
| 955 | undefined | boolean | checkbox | undefined_81 |
| 956 | CEC naj npawb | string | text | CEC naj npawb |
| 957 | Tshawb Pab Sau Npe: | string | text | Tshawb Pab Sau Npe |
| 958 | CEE naj npawb | string | text | CEE naj npawb |
| 959 | Tshawb Is Saws Las Neeg Lub Npe: | string | text | Tshawb Is Saws Las Neeg Lub Npe |
| 960 | undefined | boolean | checkbox | undefined_82 |
| 961 | Naj npawb | string | text | Naj npawb |
| 962 | Tshawb Npaj-Los Sau Npe | boolean | checkbox | Tshawb NpajLos Sau Npe |
| 963 | Npaj | string | text | Npaj |
| 964 | Txhawb naj npawb | string | text | Txhawb naj npawb |
| 965 | Txhawb tus neeg lub npe kos | string | text | Txhawb tus neeg lub npe kos |
| 966 | Hnub tim | string | text | Hnub tim_3 |
| 967 | Yog | boolean | checkbox | Yog_83 |
| 968 | Tsis yog | boolean | checkbox | Tsis yog |
| 969 | Khiav mus California | boolean | checkbox | Khiav mus California |
| 970 | Tau yog pej xeem los yog mus kuaj pom | boolean | checkbox | Tau yog pej xeem los yog mus kuaj pom |
| 971 | Tsis muaj is saws las kho mob | boolean | checkbox | Tsis muaj is saws las kho mob |
| 972 | Tau kev ywj pheej (thaum yug, sib yuav, los yog tu | boolean | checkbox | Tau kev ywj pheej thaum yug sib yuav los yog tu |
| 973 | undefined | boolean | checkbox | undefined_83 |
| 974 | Tsis tau kaw ntxiv lawm | boolean | checkbox | Tsis tau kaw ntxiv lawm |
| 975 | Pib tshiab rau kev pab them nqi | boolean | checkbox | Pib tshiab rau kev pab them nqi |
| 976 | Thov rau Medi-Cal | boolean | checkbox | Thov rau MediCal |
| 977 | Asmeslivkas khab los yog Alaska ib txwm | boolean | checkbox | Asmeslivkas khab los yog Alaska ib txwm |
| 978 | Lwm yam | string | text | Lwm yam_13 |
| 979 | Thaum twg twb tshwm sim lawm? (hli / hnub / xyoos | string | text | Thaum twg twb tshwm sim lawm hli hnub xyoos |
| 980 | Tshawb Kev Nkag Kws ntuav neeg | boolean | checkbox | Tshawb Kev Nkag Kws ntuav neeg |
| 981 | Tsoom fwv qhov chaw ua hauj lwm | boolean | checkbox | Tsoom fwv qhov chaw ua hauj lwm |
| 982 | Kws kho mob los yog tsev kho mob | boolean | checkbox | Kws kho mob los yog tsev kho mob |
| 983 | Cov koom haum los yog lub caij | boolean | checkbox | Cov koom haum los yog lub caij |
| 984 | Kev pab thiab kev pab cuam txog kev | boolean | checkbox | Kev pab thiab kev pab cuam txog kev |
| 985 | Mes nkas zee los yog ntawv xov xwm | boolean | checkbox | Mes nkas zee los yog ntawv xov xwm |
| 986 | Lub qhov ncauj ntawm lo lus | boolean | checkbox | Lub qhov ncauj ntawm lo lus |
| 987 | Kos rau hauv cov khw muag khoom | boolean | checkbox | Kos rau hauv cov khw muag khoom |
| 988 | Xov tooj cua tshaj tawm | boolean | checkbox | Xov tooj cua tshaj tawm |
| 989 | Phooj ywg los yog tsev | boolean | checkbox | Phooj ywg los yog tsev |
| 990 | Tshawb Is Saws Las Neeg | boolean | checkbox | Tshawb Is Saws Las Neeg |
| 991 | Chaw muag tshuaj | boolean | checkbox | Chaw muag tshuaj |
| 992 | Is taws nej tshaj tawm | boolean | checkbox | Is taws nej tshaj tawm |
| 993 | Ntawv tshaj tawm | boolean | checkbox | Ntawv tshaj tawm |
| 994 | Daim ntawv qhia | boolean | checkbox | Daim ntawv qhia |
| 995 | Tshaj tawm kev pab cuam | boolean | checkbox | Tshaj tawm kev pab cuam |
| 996 | boolean | checkbox | Email_2 | |
| 997 | Xa ntawv | boolean | checkbox | Xa ntawv_2 |
| 998 | Chaw ua hauj lwm | boolean | checkbox | Chaw ua hauj lwm |
| 999 | Tsev teev ntuj | boolean | checkbox | Tsev teev ntuj |
| 1000 | CoveredCA.com | boolean | checkbox | CoveredCAcom |
| 1001 | Xov tooj app | boolean | checkbox | Xov tooj app |
| 1002 | TV tshaj tawm | boolean | checkbox | TV tshaj tawm |
| 1003 | Is taws nej nrhiav | boolean | checkbox | Is taws nej nrhiav |
| 1004 | Kev tawm (Facebook, Twitter, li tej ntawd | boolean | checkbox | Kev tawm Facebook Twitter li tej ntawd |
| 1005 | Lwm yam | boolean | checkbox | Lwm yam_14 |
| 1006 | undefined | string | text | undefined_84 |
| 1007 | CalFresh Kev pab cuam uas pab tib neeg them rau zaub mov. Kev pab cuam rov qab thov dua txhua | boolean | checkbox | CalFresh Kev pab cuam uas pab tib neeg them rau zaub mov Kev pab cuam rov qab thov dua txhua |
| 1008 | CalWORKs Kev pab cuam uas muab nyiaj ntsuab thiab kev pab cuam rau nyiaj tau-tsawg tsev neeg | boolean | checkbox | CalWORKs Kev pab cuam uas muab nyiaj ntsuab thiab kev pab cuam rau nyiaj tautsawg tsev neeg |
| 1009 | Neeg 1: Lub npe | string | text | Neeg 1 Lub npe |
| 1010 | Npe nruab nrab | string | text | Npe nruab nrab |
| 1011 | Lub xeem | string | text | Lub xeem |
| 1012 | Cov tsiaj ntawv tom qab (piv txwv: Sr., Jr., III, IV | string | text | Cov tsiaj ntawv tom qab piv txwv Sr Jr III IV |
| 1013 | Tus neeg no puas yog ib tug tsoom fwv paub tias yog Asmeslivkas Khab los yog Alaska Ib Txwm Pawg Neeg | string | text | Tus neeg no puas yog ib tug tsoom fwv paub tias yog Asmeslivkas Khab los yog Alaska Ib Txwm Pawg Neeg |
| 1014 | Yog | boolean | checkbox | Yog_84 |
| 1015 | Tsis yog | boolean | checkbox | Tsis yog_2 |
| 1016 | Yog yog, sau lub npe ntawm pab pawg neeg | string | text | Yog yog sau lub npe ntawm pab pawg neeg |
| 1017 | Thiab lub xeev ntawm pab pawg neeg | string | text | Thiab lub xeev ntawm pab pawg neeg |
| 1018 | Yog | boolean | checkbox | Yog_85 |
| 1019 | Tsis yog | boolean | checkbox | Tsis yog_3 |
| 1020 | Yog | boolean | checkbox | Yog_86 |
| 1021 | Tsis yog | boolean | checkbox | Tsis yog_4 |
| 1022 | Yog Yog yog, qhia pes tsawg thiab ntau li cas hauv qab | boolean | checkbox | Yog Yog yog qhia pes tsawg thiab ntau li cas hauv qab |
| 1023 | Tsis yog Yog tsis yog, ntxuas ntxiv daim ntawv thov no | boolean | checkbox | Tsis yog Yog tsis yog ntxuas ntxiv daim ntawv thov no |
| 1024 | Nyiaj them mus rau cov kev pab pawg neeg uas tawm hauv kev pab, pab cov kev cai, tso kev xauj, los yog kev nom | boolean | checkbox | Nyiaj them mus rau cov kev pab pawg neeg uas tawm hauv kev pab pab cov kev cai tso kev xauj los yog kev nom |
| 1025 | Txhua as thiv | boolean | checkbox | Txhua as thiv_25 |
| 1026 | Txhau ob as thiv | boolean | checkbox | Txhau ob as thiv |
| 1027 | Txhua hli | boolean | checkbox | Txhua hli_25 |
| 1028 | Nqi | string | text | Nqi |
| 1029 | Lwm yam | string | text | Lwm yam_15 |
| 1030 | Nyiaj tso kev xauj los sis nom siv ntawm koom haum Indian av rau kev zoo, ua liaj teb, yug tsiaj, los yog nuv ntses | boolean | checkbox | Nyiaj tso kev xauj los sis nom siv ntawm koom haum Indian av rau kev zoo ua liaj teb yug tsiaj los yog nuv ntses |
| 1031 | Txhua as thiv | boolean | checkbox | Txhua as thiv_26 |
| 1032 | Txhau ob as thiv | boolean | checkbox | Txhau ob as thiv_2 |
| 1033 | Txhua hli | boolean | checkbox | Txhua hli_26 |
| 1034 | Nqi | string | text | Nqi_2 |
| 1035 | Lwm yam | string | text | Lwm yam_16 |
| 1036 | Nqi | string | text | Nqi_3 |
| 1037 | Txhua as thiv | boolean | checkbox | Txhua as thiv_27 |
| 1038 | Txhau ob as thiv | boolean | checkbox | Txhau ob as thiv_3 |
| 1039 | Txhua hli | boolean | checkbox | Txhua hli_27 |
| 1040 | undefined | boolean | checkbox | undefined_85 |
| 1041 | Lwm yam | string | text | Lwm yam_17 |
| 1042 | Neeg 2: Lub npe | string | text | Neeg 2 Lub npe |
| 1043 | Npe nruab nrab | string | text | Npe nruab nrab_2 |
| 1044 | Lub xeem | string | text | Lub xeem_2 |
| 1045 | Cov tsiaj ntawv tom qab (piv txwv: Sr., Jr., III, IV | string | text | Cov tsiaj ntawv tom qab piv txwv Sr Jr III IV_2 |
| 1046 | Tus neeg no puas yog ib tug tsoom fwv paub tias yog Asmeslivkas Khab los yog Alaska Ib Txwm Pawg Neeg | string | text | Tus neeg no puas yog ib tug tsoom fwv paub tias yog Asmeslivkas Khab los yog Alaska Ib Txwm Pawg Neeg_2 |
| 1047 | Yog | boolean | checkbox | Yog_87 |
| 1048 | Tsis yog | boolean | checkbox | Tsis yog_5 |
| 1049 | Yog yog, sau lub npe ntawm pab pawg neeg | string | text | Yog yog sau lub npe ntawm pab pawg neeg_2 |
| 1050 | Thiab lub xeev ntawm pab pawg neeg | string | text | Thiab lub xeev ntawm pab pawg neeg_2 |
| 1051 | Yog | boolean | checkbox | Yog_88 |
| 1052 | Tsis yog | boolean | checkbox | Tsis yog_6 |
| 1053 | Yog | boolean | checkbox | Yog_89 |
| 1054 | Tsis yog | boolean | checkbox | Tsis yog_7 |
| 1055 | Yog Yog yog, qhia pes tsawg thiab ntau li cas hauv qab | boolean | checkbox | Yog Yog yog qhia pes tsawg thiab ntau li cas hauv qab_2 |
| 1056 | Tsis yog Yog tsis yog, ntxuas ntxiv daim ntawv thov no | boolean | checkbox | Tsis yog Yog tsis yog ntxuas ntxiv daim ntawv thov no_2 |
| 1057 | Nyiaj them mus rau cov kev pab pawg neeg uas tawm hauv kev pab, pab cov kev cai, tso kev xauj, los yog kev nom | boolean | checkbox | Nyiaj them mus rau cov kev pab pawg neeg uas tawm hauv kev pab pab cov kev cai tso kev xauj los yog kev nom_2 |
| 1058 | Txhua as thiv | boolean | checkbox | Txhua as thiv_28 |
| 1059 | Txhau ob as thiv | boolean | checkbox | Txhau ob as thiv_4 |
| 1060 | Txhua hli | boolean | checkbox | Txhua hli_28 |
| 1061 | Nqi | string | text | Nqi_4 |
| 1062 | Lwm yam | string | text | Lwm yam_18 |
| 1063 | Nyiaj tso kev xauj los sis nom siv ntawm koom haum Indian av rau kev zoo, ua liaj teb, yug tsiaj, los yog nuv ntses | boolean | checkbox | Nyiaj tso kev xauj los sis nom siv ntawm koom haum Indian av rau kev zoo ua liaj teb yug tsiaj los yog nuv ntses_2 |
| 1064 | Txhua as thiv | boolean | checkbox | Txhua as thiv_29 |
| 1065 | Txhau ob as thiv | boolean | checkbox | Txhau ob as thiv_5 |
| 1066 | Txhua hli | boolean | checkbox | Txhua hli_29 |
| 1067 | Nqi | string | text | Nqi_5 |
| 1068 | Lwm yam | string | text | Lwm yam_19 |
| 1069 | Nqi | string | text | Nqi_6 |
| 1070 | Txhua as thiv | boolean | checkbox | Txhua as thiv_30 |
| 1071 | Txhau ob as thiv | boolean | checkbox | Txhau ob as thiv_6 |
| 1072 | Txhua hli | boolean | checkbox | Txhua hli_30 |
| 1073 | undefined | boolean | checkbox | undefined_86 |
| 1074 | Lwm yam | string | text | Lwm yam_20 |
| 1075 | Tus neeg no puas yog ib tug tsoom fwv paub tias yog Asmeslivkas Khab los yog Alaska Ib Txwm Pawg Neeg | string | text | Tus neeg no puas yog ib tug tsoom fwv paub tias yog Asmeslivkas Khab los yog Alaska Ib Txwm Pawg Neeg_3 |
| 1076 | Yog | boolean | checkbox | Yog_90 |
| 1077 | Tsis yog | boolean | checkbox | Tsis yog_8 |
| 1078 | Yog yog, sau lub npe ntawm pab pawg neeg | string | text | Yog yog sau lub npe ntawm pab pawg neeg_3 |
| 1079 | Thiab lub xeev ntawm pab pawg neeg | string | text | Thiab lub xeev ntawm pab pawg neeg_3 |
| 1080 | Yog | boolean | checkbox | Yog_91 |
| 1081 | Tsis yog | boolean | checkbox | Tsis yog_9 |
| 1082 | Yog | boolean | checkbox | Yog_92 |
| 1083 | Tsis yog | boolean | checkbox | Tsis yog_10 |
| 1084 | Yog Yog yog, qhia pes tsawg thiab ntau li cas hauv qab | boolean | checkbox | Yog Yog yog qhia pes tsawg thiab ntau li cas hauv qab |
| 1085 | Tsis yog Yog tsis yog, ntxuas ntxiv daim ntawv thov no | boolean | checkbox | Tsis yog Yog tsis yog ntxuas ntxiv daim ntawv thov no |
| 1086 | Nyiaj them mus rau cov kev pab pawg neeg uas tawm hauv kev pab, pab cov kev cai, tso kev xauj, los yog kev nom | boolean | checkbox | Nyiaj them mus rau cov kev pab pawg neeg uas tawm hauv kev pab pab cov kev cai tso kev xauj los yog kev nom_3 |
| 1087 | Txhua as thiv | boolean | checkbox | Txhua as thiv_31 |
| 1088 | Txhau ob as thiv | boolean | checkbox | Txhau ob as thiv_7 |
| 1089 | Txhua hli | boolean | checkbox | Txhua hli_31 |
| 1090 | Nqi | string | text | Nqi_7 |
| 1091 | Lwm yam | string | text | Lwm yam_21 |
| 1092 | Nyiaj tso kev xauj los sis nom siv ntawm koom haum Indian av rau kev zoo, ua liaj teb, yug tsiaj, los yog nuv ntses | boolean | checkbox | Nyiaj tso kev xauj los sis nom siv ntawm koom haum Indian av rau kev zoo ua liaj teb yug tsiaj los yog nuv ntses_3 |
| 1093 | Txhua as thiv | boolean | checkbox | Txhua as thiv_32 |
| 1094 | Txhau ob as thiv | boolean | checkbox | Txhau ob as thiv_8 |
| 1095 | Txhua hli | boolean | checkbox | Txhua hli_32 |
| 1096 | Nqi | string | text | Nqi_8 |
| 1097 | Lwm yam | string | text | Lwm yam_22 |
| 1098 | Nqi | string | text | Nqi_9 |
| 1099 | Txhua as thiv | boolean | checkbox | Txhua as thiv_33 |
| 1100 | Txhau ob as thiv | boolean | checkbox | Txhau ob as thiv_9 |
| 1101 | Txhua hli | boolean | checkbox | Txhua hli_33 |
| 1102 | undefined | boolean | checkbox | undefined_87 |
| 1103 | Lwm yam | string | text | Lwm yam_23 |
| 1104 | Neeg 4: Lub npe | string | text | Neeg 4 Lub npe |
| 1105 | Npe nruab nrab | string | text | Npe nruab nrab_3 |
| 1106 | Lub xeem | string | text | Lub xeem_3 |
| 1107 | Cov tsiaj ntawv tom qab (piv txwv: Sr., Jr., III, IV | string | text | Cov tsiaj ntawv tom qab piv txwv Sr Jr III IV_3 |
| 1108 | Tus neeg no puas yog ib tug tsoom fwv paub tias yog Asmeslivkas Khab los yog Alaska Ib Txwm Pawg Neeg | string | text | Tus neeg no puas yog ib tug tsoom fwv paub tias yog Asmeslivkas Khab los yog Alaska Ib Txwm Pawg Neeg_4 |
| 1109 | Yog | boolean | checkbox | Yog_93 |
| 1110 | Tsis yog | boolean | checkbox | Tsis yog_11 |
| 1111 | Yog yog, sau lub npe ntawm pab pawg neeg | string | text | Yog yog sau lub npe ntawm pab pawg neeg_4 |
| 1112 | Thiab lub xeev ntawm pab pawg neeg | string | text | Thiab lub xeev ntawm pab pawg neeg_4 |
| 1113 | Yog | boolean | checkbox | Yog_94 |
| 1114 | Tsis yog | boolean | checkbox | Tsis yog_12 |
| 1115 | Yog | boolean | checkbox | Yog_95 |
| 1116 | Tsis yog | boolean | checkbox | Tsis yog_13 |
| 1117 | Yog Yog yog, qhia pes tsawg thiab ntau li cas hauv qab | boolean | checkbox | Yog Yog yog qhia pes tsawg thiab ntau li cas hauv qab_2 |
| 1118 | Tsis yog Yog tsis yog, ntxuas ntxiv daim ntawv thov no | boolean | checkbox | Tsis yog Yog tsis yog ntxuas ntxiv daim ntawv thov no_2 |
| 1119 | Nyiaj them mus rau cov kev pab pawg neeg uas tawm hauv kev pab, pab cov kev cai, tso kev xauj, los yog kev nom | boolean | checkbox | Nyiaj them mus rau cov kev pab pawg neeg uas tawm hauv kev pab pab cov kev cai tso kev xauj los yog kev nom_4 |
| 1120 | Txhua as thiv | boolean | checkbox | Txhua as thiv_34 |
| 1121 | Txhau ob as thiv | boolean | checkbox | Txhau ob as thiv_10 |
| 1122 | Txhua hli | boolean | checkbox | Txhua hli_34 |
| 1123 | Nqi | string | text | Nqi_10 |
| 1124 | Lwm yam | string | text | Lwm yam_24 |
| 1125 | Nyiaj tso kev xauj los sis nom siv ntawm koom haum Indian av rau kev zoo, ua liaj teb, yug tsiaj, los yog nuv ntses | boolean | checkbox | Nyiaj tso kev xauj los sis nom siv ntawm koom haum Indian av rau kev zoo ua liaj teb yug tsiaj los yog nuv ntses_4 |
| 1126 | Txhua as thiv | boolean | checkbox | Txhua as thiv_35 |
| 1127 | Txhau ob as thiv | boolean | checkbox | Txhau ob as thiv_11 |
| 1128 | Txhua hli | boolean | checkbox | Txhua hli_35 |
| 1129 | Nqi | string | text | Nqi_11 |
| 1130 | Lwm yam | string | text | Lwm yam_25 |
| 1131 | Nqi | string | text | Nqi_12 |
| 1132 | Txhua as thiv | boolean | checkbox | Txhua as thiv_36 |
| 1133 | Txhau ob as thiv | boolean | checkbox | Txhau ob as thiv_12 |
| 1134 | Txhua hli | boolean | checkbox | Txhua hli_36 |
| 1135 | undefined | boolean | checkbox | undefined_88 |
| 1136 | Lwm yam | string | text | Lwm yam_26 |
| 1137 | Yog Yog yog, ua rau phab no. Yog koj xav tau chaw ntxiv, ntxuas ntxiv lwm daim ntawv | boolean | checkbox | Yog Yog yog ua rau phab no Yog koj xav tau chaw ntxiv ntxuas ntxiv lwm daim ntawv |
| 1138 | Tsis yog Yog tsis yog, mus rau phab 23 | boolean | checkbox | Tsis yog Yog tsis yog mus rau phab 23 |
| 1139 | Neeg 1 | string | text | Neeg 1 |
| 1140 | Yog | boolean | checkbox | Yog_96 |
| 1141 | Tsis yog | boolean | checkbox | Tsis yog_14 |
| 1142 | COBRA | boolean | checkbox | COBRA |
| 1143 | Chaw ua hauj lwm-pab is saws las | boolean | checkbox | Chaw ua hauj lwmpab is saws las |
| 1144 | Peace Corps | boolean | checkbox | Peace Corps |
| 1145 | Lwm yam is saws las kho mob | boolean | checkbox | Lwm yam is saws las kho mob |
| 1146 | Tub rog kev pab cuam | boolean | checkbox | Tub rog kev pab cuam |
| 1147 | So kev pab cuam | boolean | checkbox | So kev pab cuam |
| 1148 | TRICARE/CHAMPUS | boolean | checkbox | TRICARECHAMPUS |
| 1149 | Neeg 2 | string | text | Neeg 2 |
| 1150 | Yog | boolean | checkbox | Yog_97 |
| 1151 | Tsis yog | boolean | checkbox | Tsis yog_15 |
| 1152 | Tub rog kev pab cuam | boolean | checkbox | Tub rog kev pab cuam_2 |
| 1153 | So kev pab cuam | boolean | checkbox | So kev pab cuam_2 |
| 1154 | TRICARE/CHAMPUS | boolean | checkbox | TRICARECHAMPUS_2 |
| 1155 | COBRA | boolean | checkbox | COBRA_2 |
| 1156 | Chaw ua hauj lwm-pab is saws las | boolean | checkbox | Chaw ua hauj lwmpab is saws las_2 |
| 1157 | Peace Corps | boolean | checkbox | Peace Corps_2 |
| 1158 | Lwm yam is saws las kho mob | boolean | checkbox | Lwm yam is saws las kho mob_2 |
| 1159 | Neeg 3 | string | text | Neeg 3 |
| 1160 | Yog | boolean | checkbox | Yog_98 |
| 1161 | Tsis yog | boolean | checkbox | Tsis yog_16 |
| 1162 | Tub rog kev pab cuam | boolean | checkbox | Tub rog kev pab cuam_3 |
| 1163 | So kev pab cuam | boolean | checkbox | So kev pab cuam_3 |
| 1164 | TRICARE/CHAMPUS | boolean | checkbox | TRICARECHAMPUS_3 |
| 1165 | COBRA | boolean | checkbox | COBRA_3 |
| 1166 | Chaw ua hauj lwm-pab is saws las | boolean | checkbox | Chaw ua hauj lwmpab is saws las_3 |
| 1167 | Peace Corps | boolean | checkbox | Peace Corps_3 |
| 1168 | Lwm yam is saws las kho mob | boolean | checkbox | Lwm yam is saws las kho mob_3 |
| 1169 | Neeg 4 | string | text | Neeg 4 |
| 1170 | Yog | boolean | checkbox | Yog_99 |
| 1171 | Tsis yog | boolean | checkbox | Tsis yog_17 |
| 1172 | COBRA | boolean | checkbox | COBRA_4 |
| 1173 | Chaw ua hauj lwm-pab is saws las | boolean | checkbox | Chaw ua hauj lwmpab is saws las_4 |
| 1174 | Peace Corps | boolean | checkbox | Peace Corps_4 |
| 1175 | Lwm yam is saws las kho mob | boolean | checkbox | Lwm yam is saws las kho mob_4 |
| 1176 | Tub rog kev pab cuam | boolean | checkbox | Tub rog kev pab cuam_4 |
| 1177 | So kev pab cuam | boolean | checkbox | So kev pab cuam_4 |
| 1178 | TRICARE/CHAMPUS | boolean | checkbox | TRICARECHAMPUS_4 |
| 1179 | Yog Yog yog, teb cov lus nug. Yog koj xav tau chaw ntxiv, ntxuas ib daim ntawv ntxiv | boolean | checkbox | Yog Yog yog teb cov lus nug Yog koj xav tau chaw ntxiv ntxuas ib daim ntawv ntxiv |
| 1180 | Tsis yog | boolean | checkbox | Tsis yog_18 |
| 1181 | Npe Thawj, nruab nrab, xeem, Cov tsiaj ntawv tom qab (piv txwv, Jr., Sr., III, IV) Neeg 1: | string | text | Npe Thawj nruab nrab xeem Cov tsiaj ntawv tom qab piv txwv Jr Sr III IV Neeg 1 |
| 1182 | Nkag tam sim no | boolean | checkbox | Nkag tam sim no |
| 1183 | Npaj yuav nkag | boolean | checkbox | Npaj yuav nkag |
| 1184 | Tsis tau nkag | boolean | checkbox | Tsis tau nkag |
| 1185 | Hnub pib | string | text | Hnub pib |
| 1186 | Yog | boolean | checkbox | Yog_100 |
| 1187 | Tsis yog | boolean | checkbox | Tsis yog_19 |
| 1188 | Kuv tsis paub | boolean | checkbox | Kuv tsis paub |
| 1189 | Npe chaw ua hauj lwm (yeem)_Neeg 2: | string | text | Npe chaw ua hauj lwm yeemNeeg 2 |
| 1190 | Nkag tam sim no | boolean | checkbox | Nkag tam sim no_2 |
| 1191 | Npaj yuav nkag | boolean | checkbox | Npaj yuav nkag_2 |
| 1192 | Tsis tau nkag | boolean | checkbox | Tsis tau nkag_2 |
| 1193 | Hnub pib | string | text | Hnub pib_2 |
| 1194 | undefined | string | text | fill_12 |
| 1195 | Yog | boolean | checkbox | Yog_101 |
| 1196 | Tsis yog | boolean | checkbox | Tsis yog_20 |
| 1197 | Kuv tsis paub | boolean | checkbox | Kuv tsis paub_2 |
| 1198 | Npe chaw ua hauj lwm (yeem)_Neeg 3: | string | text | Npe chaw ua hauj lwm yeemNeeg 3 |
| 1199 | Nkag tam sim no | boolean | checkbox | Nkag tam sim no_3 |
| 1200 | Npaj yuav nkag | boolean | checkbox | Npaj yuav nkag_3 |
| 1201 | Tsis tau nkag | boolean | checkbox | Tsis tau nkag_3 |
| 1202 | undefined | string | text | fill_13 |
| 1203 | Hnub pib | string | text | Hnub pib_3 |
| 1204 | Yog | boolean | checkbox | Yog_102 |
| 1205 | Tsis yog | boolean | checkbox | Tsis yog_21 |
| 1206 | Kuv tsis paub | boolean | checkbox | Kuv tsis paub_3 |
| 1207 | Npe chaw ua hauj lwm (yeem)_Neeg 4: | string | text | Npe chaw ua hauj lwm yeemNeeg 4 |
| 1208 | Nkag tam sim no | boolean | checkbox | Nkag tam sim no_4 |
| 1209 | Npaj yuav nkag | boolean | checkbox | Npaj yuav nkag_4 |
| 1210 | Tsis tau nkag | boolean | checkbox | Tsis tau nkag_4 |
| 1211 | undefined | string | text | fill_14 |
| 1212 | Hnub pib | string | text | Hnub pib_4 |
| 1213 | Yog | boolean | checkbox | Yog_103 |
| 1214 | Tsis yog | boolean | checkbox | Tsis yog_22 |
| 1215 | Kuv tsis paub | boolean | checkbox | Kuv tsis paub_4 |
| 1216 | Puas tsawg uas tus neeg ua hauj lwm yuav tsum tau them | string | text | Puas tsawg uas tus neeg ua hauj lwm yuav tsum tau them |
| 1217 | Chaw ua hauj lwm yuav tsis pab them kho mob | boolean | checkbox | Chaw ua hauj lwm yuav tsis pab them kho mob |
| 1218 | Qhov chaw ua haujlwm yuav pib cov kev pab them nqi kho mob | boolean | checkbox | Qhov chaw ua haujlwm yuav pib cov kev pab them nqi kho mob |
| 1219 | Txhua as thiv | boolean | checkbox | Txhua as thiv_37 |
| 1220 | Txhua ob as thiv | boolean | checkbox | Txhua ob as thiv_25 |
| 1221 | Ob zaug tuaj ib hli | boolean | checkbox | Ob zaug tuaj ib hli_25 |
| 1222 | Txhau hli | boolean | checkbox | Txhau hli |
| 1223 | Txhua peb hli | boolean | checkbox | Txhua peb hli_25 |
| 1224 | Txhua xyoo | boolean | checkbox | Txhua xyoo_25 |
| 1225 | Hnub hloov | string | text | Hnub hloov |
| 1226 | Chaw ua hauj lwm: Lub npe Npe nruab nrab Lub xeem Cov tsiaj ntawv tom qab | string | text | Chaw ua hauj lwm Lub npe Npe nruab nrab Lub xeem Cov tsiaj ntawv tom qab |
| 1227 | Social Security naj npawb (SSN) (yeem | string | text | Social Security naj npawb SSN yeem |
| 1228 | undefined | string | text | undefined_89 |
| 1229 | undefined | string | text | undefined_90 |
| 1230 | Chaw ua hauj lwm npe | string | text | Chaw ua hauj lwm npe |
| 1231 | Qhov chaw ua haujlwm nab npawb (EIN | string | text | Qhov chaw ua haujlwm nab npawb EIN |
| 1232 | undefined | string | text | undefined_91 |
| 1233 | Chaw ua hauj lwm chaw nyob | string | text | Chaw ua hauj lwm chaw nyob |
| 1234 | Chaw ua hauj lwm xov tooj naj npawb | string | text | Chaw ua hauj lwm xov tooj naj npawb |
| 1235 | Zov | string | text | Zov |
| 1236 | Xeev | string | text | Xeev_10 |
| 1237 | Zij khauj | string | text | Zij khauj_9 |
| 1238 | Xov tooj naj npawb | string | text | Xov tooj naj npawb |
| 1239 | Email chaw nyob | string | text | Email chaw nyob_2 |
| 1240 | Peb tsis muaj is saws las kho mob | boolean | checkbox | Peb tsis muaj is saws las kho mob |
| 1241 | Cov neeg ua hauj lwm uas haum rau cov kev pab nyob rau hauv peb pib npaj rau (pib hnub tim | boolean | checkbox | Cov neeg ua hauj lwm uas haum rau cov kev pab nyob rau hauv peb pib npaj rau pib hnub tim |
| 1242 | Tus neeg ua hauj lwm tsis tsim nyog txais kev pab hauv peb qhov kev npaj | boolean | checkbox | Tus neeg ua hauj lwm tsis tsim nyog txais kev pab hauv peb qhov kev npaj |
| 1243 | undefined | string | text | undefined_92 |
| 1244 | undefined | string | text | undefined_93 |
| 1245 | Ntau npaum li cas yuav tus neeg ua hauj lwm muaj them rau | string | text | Ntau npaum li cas yuav tus neeg ua hauj lwm muaj them rau |
| 1246 | paub tseeb, nug koj tus issuer kho mob | string | text | paub tseeb nug koj tus issuer kho mob |
| 1247 | Txhua ob as thiv | boolean | checkbox | Txhua ob as thiv_26 |
| 1248 | Txhua peb hli | boolean | checkbox | Txhua peb hli_26 |
| 1249 | Ob zaug tuaj ib hli | boolean | checkbox | Ob zaug tuaj ib hli_26 |
| 1250 | Txhua xyoo | boolean | checkbox | Txhua xyoo_26 |
| 1251 | Tsis muaj lub hom phiaj raws li tus nqi tsawg | boolean | checkbox | Tsis muaj lub hom phiaj raws li tus nqi tsawg |
| 1252 | Txhua as thiv | boolean | checkbox | Txhua as thiv_38 |
| 1253 | Txhau hli | boolean | checkbox | Txhau hli_2 |
| 1254 | Lwm yam | boolean | checkbox | Lwm yam_27 |
| 1255 | undefined | string | text | undefined_94 |
| 1256 | Peb yuav tsis muab cov kev pab them nqi kho mob | boolean | checkbox | Peb yuav tsis muab cov kev pab them nqi kho mob |
| 1257 | Peb yuav pib Self cov kev pab them nqi kho mob rau cov neeg ua hauj | boolean | checkbox | Peb yuav pib Self cov kev pab them nqi kho mob rau cov neeg ua hauj |
| 1258 | Ntau npaum li cas tus neeg ua hauj lwm puas mus them rau | string | text | Ntau npaum li cas tus neeg ua hauj lwm puas mus them rau |
| 1259 | Txhua as thiv | boolean | checkbox | Txhua as thiv_39 |
| 1260 | Txhua ob as thiv | boolean | checkbox | Txhua ob as thiv_27 |
| 1261 | Ob zaug tuaj ib hli | boolean | checkbox | Ob zaug tuaj ib hli_27 |
| 1262 | Txhau hli | boolean | checkbox | Txhau hli_3 |
| 1263 | Txhua peb hli | boolean | checkbox | Txhua peb hli_27 |
| 1264 | Txhua xyoo | boolean | checkbox | Txhua xyoo_27 |
| 1265 | Hnub hloov | string | text | Hnub hloov_2 |
| 1266 | Npe Thawj, nruab nrab, xeem, Cov tsiaj ntawv tom qab (piv txwv rau, Jr., Sr., III, IV) Me nyuam 1: | string | text | Npe Thawj nruab nrab xeem Cov tsiaj ntawv tom qab piv txwv rau Jr Sr III IV Me nyuam 1 |
| 1267 | Siab | boolean | checkbox | Siab |
| 1268 | Qis | boolean | checkbox | Qis |
| 1269 | DEPO | boolean | checkbox | DEPO |
| 1270 | DHMO | boolean | checkbox | DHMO |
| 1271 | DPPO | boolean | checkbox | DPPO |
| 1272 | Me nyuam yaus kho hniav npaj lub npe_Me nyuam 2: | string | text | Me nyuam yaus kho hniav npaj lub npeMe nyuam 2 |
| 1273 | Siab | boolean | checkbox | Siab_2 |
| 1274 | Qis | boolean | checkbox | Qis_2 |
| 1275 | DEPO | boolean | checkbox | DEPO_2 |
| 1276 | DHMO | boolean | checkbox | DHMO_2 |
| 1277 | DPPO | boolean | checkbox | DPPO_2 |
| 1278 | Me nyuam yaus kho hniav npaj lub npe_Me nyuam 3: | string | text | Me nyuam yaus kho hniav npaj lub npeMe nyuam 3 |
| 1279 | Siab | boolean | checkbox | Siab_3 |
| 1280 | Qis | boolean | checkbox | Qis_3 |
| 1281 | DEPO | boolean | checkbox | DEPO_3 |
| 1282 | DHMO | boolean | checkbox | DHMO_3 |
| 1283 | DPPO | boolean | checkbox | DPPO_3 |
| 1284 | Me nyuam yaus kho hniav npaj lub npe_Me nyuam 4: | string | text | Me nyuam yaus kho hniav npaj lub npeMe nyuam 4 |
| 1285 | Siab | boolean | checkbox | Siab_4 |
| 1286 | Qis | boolean | checkbox | Qis_4 |
| 1287 | DEPO | boolean | checkbox | DEPO_4 |
| 1288 | DHMO | boolean | checkbox | DHMO_4 |
| 1289 | DPPO | boolean | checkbox | DPPO_4 |
| 1290 | Npe Thawj, nruab nrab, xeem, tsiaj ntawv tom qab (piv txwv rau, Jr., Sr., III, IV) Tus neeg 1: | string | text | Npe Thawj nruab nrab xeem tsiaj ntawv tom qab piv txwv rau Jr Sr III IV Tus neeg 1 |
| 1291 | Platinum | boolean | checkbox | Platinum |
| 1292 | Silver | boolean | checkbox | Silver |
| 1293 | Npaj them me me heev | boolean | checkbox | Npaj them me me heev |
| 1294 | Gold | boolean | checkbox | Gold |
| 1295 | Bronze | boolean | checkbox | Bronze |
| 1296 | EPO | boolean | checkbox | EPO |
| 1297 | HSA | boolean | checkbox | HSA |
| 1298 | HMO | boolean | checkbox | HMO |
| 1299 | PPO | boolean | checkbox | PPO |
| 1300 | Noj qab nyob zoo lub npe npaj_Tus neeg 2: | string | text | Noj qab nyob zoo lub npe npajTus neeg 2 |
| 1301 | Platinum | boolean | checkbox | Platinum_2 |
| 1302 | Silver | boolean | checkbox | Silver_2 |
| 1303 | Npaj them me me heev | boolean | checkbox | Npaj them me me heev_2 |
| 1304 | Gold | boolean | checkbox | Gold_2 |
| 1305 | Bronze | boolean | checkbox | Bronze_2 |
| 1306 | Hlau theem_Platinum Gold Silver Bronze Npaj them me me heev | string | text | Hlau theemPlatinum Gold Silver Bronze Npaj them me me heev |
| 1307 | EPO | boolean | checkbox | EPO_2 |
| 1308 | HSA | boolean | checkbox | HSA_2 |
| 1309 | HMO | boolean | checkbox | HMO_2 |
| 1310 | PPO | boolean | checkbox | PPO_2 |
| 1311 | Noj qab nyob zoo lub npe npaj_Tus neeg 3: | string | text | Noj qab nyob zoo lub npe npajTus neeg 3 |
| 1312 | Platinum | boolean | checkbox | Platinum_3 |
| 1313 | Silver | boolean | checkbox | Silver_3 |
| 1314 | Npaj them me me heev | boolean | checkbox | Npaj them me me heev_3 |
| 1315 | Gold | boolean | checkbox | Gold_3 |
| 1316 | Bronze | boolean | checkbox | Bronze_3 |
| 1317 | Hlau theem_Platinum Gold Silver Bronze Npaj them me me heev | string | text | Hlau theemPlatinum Gold Silver Bronze Npaj them me me heev_2 |
| 1318 | EPO | boolean | checkbox | EPO_3 |
| 1319 | HSA | boolean | checkbox | HSA_3 |
| 1320 | HMO | boolean | checkbox | HMO_3 |
| 1321 | PPO | boolean | checkbox | PPO_3 |
| 1322 | Noj qab nyob zoo lub npe npaj_Tus neeg 4: | string | text | Noj qab nyob zoo lub npe npajTus neeg 4 |
| 1323 | Platinum | boolean | checkbox | Platinum_4 |
| 1324 | Silver | boolean | checkbox | Silver_4 |
| 1325 | Npaj them me me heev | boolean | checkbox | Npaj them me me heev_4 |
| 1326 | Gold | boolean | checkbox | Gold_4 |
| 1327 | Bronze | boolean | checkbox | Bronze_4 |
| 1328 | Hlau theem_Platinum Gold Silver Bronze Npaj them me me heev | string | text | Hlau theemPlatinum Gold Silver Bronze Npaj them me me heev_3 |
| 1329 | EPO | boolean | checkbox | EPO_4 |
| 1330 | HSA | boolean | checkbox | HSA_4 |
| 1331 | HMO | boolean | checkbox | HMO_4 |
| 1332 | PPO | boolean | checkbox | PPO_4 |
| 1333 | Hnub tim | string | text | Hnub tim_4 |
| 1334 | Hnub tim | string | text | Hnub tim_5 |
| 1335 | Hnub tim | string | text | Hnub tim_6 |
| 1336 | Hnub tim | string | text | Hnub tim_7 |
| 1337 | 2 | string | text | 2 |
| 1338 | $21,400 | string | text | 21400 |
| 1339 | $21,400 $62,040 | string | text | 21400 62040 |
| 1340 | 3 | string | text | 3 |
| 1341 | $26,950 | string | text | 26950 |
| 1342 | $26,950 $78,120 | string | text | 26950 78120 |
| 1343 | 4 | string | text | 4 |
| 1344 | $32,500 | string | text | 32500 |
| 1345 | $32,500 $94,200 | string | text | 32500 94200 |
| 1346 | 5 | string | text | 5 |
| 1347 | $38,050 | string | text | 38050 |
| 1348 | $38,050 $110,280 | string | text | 38050 110280 |
| 1349 | yog saib www.calfresh.ca.gov, los yog thov hauv is taws nej ntawm benefitscal.org | string | text | yog saib wwwcalfreshcagov los yog thov hauv is taws nej ntawm benefitscalorg |
| 1350 | hauv Facebook! Mus rau: Facebook.com | string | text | hauv Facebook Mus rau Facebookcom |
| 1351 | pab cuam yuav ua rau koj lub neej yooj yim me ntsis | string | text | pab cuam yuav ua rau koj lub neej yooj yim me ntsis |
| 1352 | www.eitc.ca.gov | string | text | wwweitccagov |
| 1353 | SPANISH | string | text | SPANISH |
| 1354 | undefined | string | text | undefined_95 |
| 1355 | VIeTNAMeSe | string | text | VIeTNAMeSe |
| 1356 | 1-800-738-9116 | string | text | 18007389116 |
| 1357 | TAGALoG | string | text | TAGALoG |
| 1358 | HMoNG | string | text | HMoNG |
| 1359 | Mus rau: Facebook.com/CoveredCA | string | text | Mus rau FacebookcomCoveredCA |
| 1360 | 1-800-778-7695 | string | text | 18007787695 |
| 1361 | 1-800-996-1009 | string | text | 18009961009 |
| 1362 | undefined | string | text | undefined_96 |
| 1363 | undefined | string | text | undefined_97 |
| 1364 | 1-800-826-6317 | string | text | 18008266317 |
Where it was found
The object
What the file says about itself
{ 10 keys
"read": { 4 keys
References (1)
- Application with Financial Help — www.coveredca.com