Form DHCS0003 Affidavit of Reasonable Effort to Get Proof of Citizenship - California (Korean)

Form DHCS0003 Affidavit of Reasonable Effort to Get Proof of Citizenship - California (Korean)

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 Korean. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DHCS0003?A: Form DHCS0003 is the Affidavit of Reasonable Effort to Get Proof of Citizenship.

Q: What is the purpose of Form DHCS0003?A: The purpose of Form DHCS0003 is to declare the efforts made to obtain proof of citizenship for benefits received in California.

Q: Who should use Form DHCS0003?A: Form DHCS0003 should be used by individuals who are unable to provide documentation of their citizenship but have made reasonable efforts to obtain it.

Q: What are the supporting documents required with Form DHCS0003?A: Supporting documents required with Form DHCS0003 include copies of documents used to attempt to establish citizenship, such as birth certificates or naturalization papers.

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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;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form DHCS0003 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 DHCS0003 Affidavit of Reasonable Effort to Get Proof of Citizenship - California (Korean)

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  • Form DHCS0003 Affidavit of Reasonable Effort to Get Proof of Citizenship - California (Korean), Page 1
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