This version of the form is not currently in use and is provided for reference only. Download this version of Form CDPH8729 for the current year.
This is a legal form that was released by the California Department of Public Health - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the CDPH8729 Eligibility Exception Request (EER)?A: CDPH8729 is a request form for an eligibility exception in the AIDS Drug Assistance Program (ADAP) in California.
Q: What does ADAP stand for?A: ADAP stands for AIDS Drug Assistance Program.
Q: Who can use the CDPH8729 EER form?A: People seeking an eligibility exception in the ADAP program in California can use the CDPH8729 EER form.
Q: What is the purpose of the CDPH8729 EER form?A: The purpose of the CDPH8729 EER form is to request an eligibility exception in the ADAP program.
Q: Is the CDPH8729 EER form specific to California?A: Yes, the CDPH8729 EER form is specific to the AIDS Drug Assistance Program in California.
Q: What information is required on the CDPH8729 EER form?A: The CDPH8729 EER form requires personal information, medical diagnosis, and supporting documentation.
Q: Who can help me fill out the CDPH8729 EER form?A: ADAP enrollment sites or healthcare providers can assist in filling out the CDPH8729 EER form.
Q: What happens after submitting the CDPH8729 EER form?A: After submission, the CDPH will review the form and supporting documentation to determine eligibility for an exception in the ADAP program.
Q: Are there any fees associated with the CDPH8729 EER form?A: No, there are no fees associated with submitting the CDPH8729 EER form.
Form Details:
Download a fillable version of Form CDPH8729 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the California Department of Public Health.