Click to open Pre Application form. It is a fillable PDF file.
Use the free Adobe Acrobat Reader to complete the application.
When done, click the SUBMIT button at the end to application to email to SIRHA.
Or select SAVE AS, save the application to your computer and email to SIRHA.
You can also download to your computer, complete the application, make sure to “SAVE AS” and email the application here.
If the file doesn’t automatically download, click to open in your browser
and choose SAVE AS and save to your computer.