Form DHCS0010 Affidavit of Identity for U.S. Citizen or National for Disabled Individuals Living in Institutional Care Facilities - California

What Is Form DHCS0010?

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 form DHCS0010?A: Form DHCS0010 is the Affidavit of Identity for U.S. Citizen or National for Disabled Individuals Living in Institutional Care Facilities in California.

Q: Who is this form for?A: This form is for disabled individuals who are U.S. citizens or nationals and are living in institutional care facilities in California.

Q: What is the purpose of form DHCS0010?A: The purpose of this form is to provide proof of identity for disabled individuals living in institutional care facilities in California.

Q: Is form DHCS0010 mandatory?A: Yes, form DHCS0010 is mandatory for disabled individuals living in institutional care facilities in California.

Q: What information do I need to provide on form DHCS0010?A: On form DHCS0010, you need to provide your personal information, such as your name, date of birth, and Social Security number, as well as information about your institutional care facility.

Q: Are there any supporting documents required with form DHCS0010?A: Yes, you need to submit a copy of your birth certificate or U.S. passport as supporting documentation with form DHCS0010.