Form DHCS7014 Property Lien Referral - California

Form DHCS7014 Property Lien Referral - California

What Is Form DHCS7014?

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 DHCS7014?
A: Form DHCS7014 is Property Lien Referral - California.

Q: What is the purpose of form DHCS7014?
A: The purpose of form DHCS7014 is to refer a property lien to the California Department of Health Care Services (DHCS).

Q: Who uses form DHCS7014?
A: Form DHCS7014 is used by individuals or entities, such as health care providers, who have a legally enforceable claim for payment against a patient's personal injury settlement or judgment.

Q: What information is required in form DHCS7014?
A: Form DHCS7014 requires information about the claimant, the patient, the settlement or judgment, and other supporting documentation.

Q: Are there any fees for submitting form DHCS7014?
A: Yes, there is a fee for submitting form DHCS7014. The fee is based on the amount of the claim and is payable to the California Department of Health Care Services (DHCS).

Q: What happens after submitting form DHCS7014?
A: After submitting form DHCS7014, the California Department of Health Care Services (DHCS) will review the claim and determine if a lien should be established against the patient's settlement or judgment.

Q: How long does it take for the California Department of Health Care Services (DHCS) to process form DHCS7014?
A: The processing time for form DHCS7014 varies, but it typically takes several weeks for the California Department of Health Care Services (DHCS) to review and process the form.

Q: What happens if the California Department of Health Care Services (DHCS) approves the property lien?
A: If the California Department of Health Care Services (DHCS) approves the property lien, it will be recorded against the patient's settlement or judgment, and the claimant will have a legal right to receive payment from the proceeds of the settlement or judgment.

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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;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DHCS7014 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form DHCS7014 Property Lien Referral - California

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