Form DHCS0011 Proof of Acceptable Citizenship or Identity Documents - California (Chinese)

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

FAQ

Q: What is the Form DHCS0011?A: Form DHCS0011 is a proof of acceptable citizenship or identity documents form required by the California Department of Health Care Services (DHCS).

Q: Who needs to fill out Form DHCS0011?A: Anyone applying for health care benefits in California, who needs to prove their citizenship or identity, may be required to fill out Form DHCS0011.

Q: What is the purpose of Form DHCS0011?A: The purpose of Form DHCS0011 is to provide a list of acceptable documents that can be used as proof of citizenship or identity when applying for health care benefits in California.

Q: What documents are accepted as proof of citizenship or identity?A: The list of acceptable documents may include a US passport, US birth certificate, permanent resident card, driver's license, or state ID card.

Q: Do I need to include original documents with Form DHCS0011?A: No, you should not send original documents with Form DHCS0011. Photocopies or other certified copies of the documents are accepted.