Form DHCS7020 Screening Work Sheet - California

Form DHCS7020 Screening Work Sheet - California

What Is Form DHCS7020?

This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the DHCS7020 Screening Work Sheet?A: The DHCS7020 Screening Work Sheet is a form used in California to assess an individual's eligibility for certain health and social service programs.

Q: Who uses the DHCS7020 Screening Work Sheet?A: The DHCS7020 Screening Work Sheet is used by individuals and families who are seeking to apply for health and social service programs in California.

Q: What information is required on the DHCS7020 Screening Work Sheet?A: The DHCS7020 Screening Work Sheet requires information about the individual's income, assets, household size, and other relevant factors to determine their eligibility for assistance programs.

Q: What programs are covered by the DHCS7020 Screening Work Sheet?A: The DHCS7020 Screening Work Sheet is used to assess eligibility for programs such as Medi-Cal, CalFresh, and other health and social service programs in California.

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Form Details:

  • Released on June 1, 2007;
  • 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;
  • Fill out the form in our online filing application.

Download a fillable version of Form DHCS7020 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form DHCS7020 Screening Work Sheet - California

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  • Form DHCS7020 Screening Work Sheet - California, Page 1
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