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This form is used for requesting to opt-in to the CAP-And-Trade Program in California.
This Form is used for applying for accreditation as a verification body for offset project data reports in California.
This form is used as a supplement to Carb's Advance Payment Request Form for requesting the disbursement of AB 617 Community Air Protection (CAP) Incentives Grant in California.
This form is used for acknowledging late reporting for the low-use option in California.
This document is an application form used in California to request the appointment of a fee arbitrator for resolution of fee disputes.
This form is used for requesting certified public enforcement documents in the state of California.
This form is used for explaining the application question on the California EXP form.
This Form is used for verifying current postgraduate training in California.
This form is used for reporting criminal actions in the state of California. It is used by law enforcement agencies and other relevant authorities to provide information about criminal incidents.
This document is a report filed in the state of California to report unlicensed activity. It is used to report individuals or businesses that are engaging in activities without the proper licenses or permits.
This form is used for determining income eligibility for the TB (Tuberculosis) Program in California.
This form is used for the Tuberculosis (TB) Program Property Worksheet for children in California.
This Form is used for the Tuberculosis (TB) Program Property Worksheet for Adults in California.
This form is used for giving consent to transfer Medi-Cal benefits to Healthy Families in California. (Spanish)
This Form is used for obtaining consent to transition from Medi-Cal to Healthy Families program in California, but it is specifically in the Korean language.
This form is used for property screening questions in California in the case of Sneede v. Kizer.
This Form is used for enrolling pregnant women, infants, and children in federal poverty level (FPL) programs in California. It includes income disregards for different age groups, such as 200 percent for pregnant women and infants, 133 percent for children ages 1 through 5, and 100 percent for children ages 6 through 18.
This Form is used to determine the income eligibility for QMB/SLMB/QI Medicare beneficiaries in California who are either couples or applicants with an ineligible spouse, with or without child(ren).
This form is used for determining the percentage obligation for Medi-Cal special treatment programs in California.
This form is used for calculating property eligibility for QMB, SLMB, and QI programs for adults aged 18 and older or married individuals in California.
This form is used for applying for the Medi-Cal Property Assessment program in California.
This Form is used for allocating funds from an SSI or IHSS person in California.
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.