PDF
Word
Form DHCS0005 Receipt of Citizenship or Identity Documents - California (Arabic)
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 Arabic. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the purpose of the DHCS0005 form?A: The form is used to provide proof of citizenship or identity for obtaining health care services in California.
Q: Who can use the DHCS0005 form?A: This form can be used by individuals who are applying for or receiving health care services in California.
Q: What documents can be used as proof of citizenship or identity?A: Acceptable documents include U.S. passport, Certificate of Naturalization, Permanent Resident Card, and other similar identification documents.
Q: How should I complete the DHCS0005 form?A: You should carefully fill out all the required sections of the form, providing accurate information about your citizenship or identity documents.
Q: Is there a fee to submit the DHCS0005 form?A: No, there is no fee associated with submitting this form.
Form Details:
- Released on February 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;
Download a printable version of Form DHCS0005 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
