Form DHCS0011 Proof of Acceptable Citizenship or Identity Documents - California (English / Farsi)

Form DHCS0011 Proof of Acceptable Citizenship or Identity Documents - California (English / Farsi)

What Is Form DHCS0011?

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 DHCS0011?A: DHCS0011 is a form for providing proof of acceptable citizenship or identity documents in California.

Q: What is the purpose of DHCS0011?A: The purpose of DHCS0011 is to verify an individual's citizenship or identity for healthcare services in California.

Q: Who needs to fill out DHCS0011?A: DHCS0011 needs to be filled out by individuals who are applying for healthcare services in California.

Q: Is DHCS0011 available in multiple languages?A: Yes, DHCS0011 is available in English and Farsi.

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Form Details:

  • Released on June 1, 2008;
  • The latest edition provided by the California Department of Health Care Services;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DHCS0011 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the California Department of Health Care Services.

Download Form DHCS0011 Proof of Acceptable Citizenship or Identity Documents - California (English / Farsi)

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  • Form DHCS0011 Proof of Acceptable Citizenship or Identity Documents - California (English / Farsi), Page 1
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