How to Apply for Hawki

Convenient ways to file an application for the Hawki program:

  1. Online by using the DHS Services Portal.
  2. Print and fill out the Application (Form 470-5170). (Spanish Form 470-5170S). Mail the application to:
Imaging Center 4 
PO Box 2027
Cedar Rapids, IA 52406
  1. Call Hawki Member Services at 1-800-257-8563 and ask for an application to be mailed to you.

For assistance with filling out the application, find the Hawki Outreach Coordinator in your area.


Hawki Member Services (Monday to Friday from 8 a.m. to 5 p.m.)
1-800-257-8563 (Toll Free)
For telephone accessibility assistance if you are deaf, hard-of-hearing, deaf-blind, or have difficulty speaking, call Relay Iowa TTY at 1-800-735-2942.
Llame al 1-800-735-2942, a Relay Iowa TTY (teléfono de texto para personas con problemas de audición, del habla y ceguera) si necesita asistencia telefónicamente.