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

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 Cambodian. 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 specific to California (Cambodian).

Q: What is the purpose of Form DHCS0003?A: The purpose of Form DHCS0003 is to attest that reasonable efforts have been made to obtain proof of citizenship for the individual.

Q: Who should use Form DHCS0003?A: Form DHCS0003 is intended to be used by individuals in California of Cambodian descent who are unable to provide proof of their citizenship.

Q: What information is required in Form DHCS0003?A: Form DHCS0003 requires the individual to provide their personal information, details of their efforts to obtain proof of citizenship, and any supporting documentation.

Q: Are there any fees associated with submitting Form DHCS0003?A: No, there are no fees associated with submitting Form DHCS0003.

Q: What should I do after completing Form DHCS0003?A: After completing Form DHCS0003, you should submit it to the appropriate DHCS office either in person or by mail.

Q: Is Form DHCS0003 specific to Cambodian individuals in California?A: Yes, Form DHCS0003 is specific to individuals in California of Cambodian descent.

Q: What happens after I submit Form DHCS0003?A: After submitting Form DHCS0003, the DHCS will review the information provided and determine the individual's eligibility for certain healthcare programs.