Fill and Sign United States Legal Forms

This form is used for giving consent to bridge coverage from Medi-Cal to Healthy Families in California. This document is intended for Russian speakers.

This Form is used for disability determination services in the state of California. It is used by the Disability Determination Service Division to collect relevant information and assess an individual's eligibility for disability benefits.

This form is used for calculating the property value of qualified disabled working individuals (QDWIs) in California.

This Form is used for reporting potential overpayments related to income or other health coverage in the California Medi-Cal program.

This form is used for reporting potential overpayments related to property total ineligibility or ineligibility for a specific level of services in the Medi-Cal program in California. It is a work sheet designed for reporting and calculating potential overpayments.

This form is used for providing additional information on the facts related to a Medi-Cal child applicant who is under the age of 18 in California. The form is available in Chinese.

This form is used for property owners in California who speak Hmong to provide additional information about their property for government purposes.

This form is used for reporting potential overpayments in Medi-Cal, California's Medicaid program. It is specifically for reporting income or other health coverage that may affect eligibility or payment calculations in the Medi-Cal program.

This form is used for calculating the SGA (Substantial Gainful Activity) work activity of an individual in California. It helps determine eligibility for certain benefits.

This Form is used for determining new beneficiaries for Medi-Cal (Long-Term Care) in the state of California.

This type of document, IRS Form 14815-A, is used to provide supporting documentation to prove eligibility for the Child Tax Credit (CTC) and Credit for Other Dependents (ODC).

This document is for applying for membership to the IRS Security Summit.

This Form is used for changing the name on a standard permit, driver's license, or non-driver ID card in New York.

This form is used for preparing a work sheet related to Section 1931(B) property in the state of California in the case of Sneede V. Kizer.

This form is used for calculating the Supplemental Security Income (SSI) program methodology property for children in California.

This form is used for providing medical information and answering questions about the safety of newborns in California.

This Form is used for expressing enrollment applicants in California who require a supplemental form in Chinese.

This Form is used for requesting Transitional Medi-Cal (TMC) or four month continuing Medi-Cal in California.

This Form is used for reporting property and assets for adults applying for the Supplemental Security Income (SSI) program in California.

This form is used for making a referral for a waiver program for individuals with developmental disabilities in California.