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This version of the form is not currently in use and is provided for reference only. Download this version of
Form DHCS1816
for the current year.
Form DHCS1816 Affidavit Regarding Client Money - Mental Health Rehabilitation Center - California
What Is Form DHCS1816?
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 a DHCS1816 Affidavit?A: A DHCS1816 Affidavit is a document used in California for clients at Mental HealthRehabilitation Centers.
Q: What is the purpose of the DHCS1816 Affidavit?A: The purpose of the affidavit is to declare the client's assets and income in order to determine eligibility for state funding.
Q: Who needs to fill out the DHCS1816 Affidavit?A: The DHCS1816 Affidavit needs to be filled out by clients applying for state funding at a Mental Health Rehabilitation Center in California.
Q: What information is required in the DHCS1816 Affidavit?A: The affidavit requires information about the client's assets, income, and expenses.
Q: Is the DHCS1816 Affidavit mandatory?A: Yes, it is mandatory for clients applying for state funding at a Mental Health Rehabilitation Center in California to fill out the DHCS1816 Affidavit.
Form Details:
- Released on June 1, 2014;
- 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 DHCS1816 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the California Department of Health Care Services.
