Form MC371 Additional Family Members Requesting Medi-Cal - California (Farsi)

Form MC371 Additional Family Members Requesting Medi-Cal - California (Farsi)

This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California.

The document is provided in Farsi. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form MC371?
A: Form MC371 is a request form for additional family members to apply for Medi-Cal in California.

Q: What is Medi-Cal?
A: Medi-Cal is a California state program that provides low-cost or free health coverage for eligible individuals and families.

Q: Who can use Form MC371?
A: Form MC371 can be used by additional family members who want to apply for Medi-Cal in California.

Q: Is Form MC371 available in Farsi?
A: Yes, Form MC371 is available in Farsi for individuals who prefer to fill it out in that language.

Q: What information is required on Form MC371?
A: Form MC371 requires information such as name, date of birth, address, income, and household size for each additional family member applying for Medi-Cal.

Q: Do all family members need to fill out Form MC371?
A: Yes, all additional family members who want to apply for Medi-Cal need to fill out their own individual Form MC371.

Q: Are there any fees to apply for Medi-Cal using Form MC371?
A: No, there are no fees to apply for Medi-Cal using Form MC371.

Q: Is there a deadline to submit Form MC371?
A: There is no specific deadline to submit Form MC371, but it is recommended to submit it as soon as possible to avoid any gaps in coverage.

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Form Details:

  • Released on June 1, 2009;
  • The latest edition provided by the California Department of Health Care Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form MC371 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form MC371 Additional Family Members Requesting Medi-Cal - California (Farsi)

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