PDF
Word
Form DHCS6249 Appointment of Representative - Estate Recovery - California
What Is Form DHCS6249?
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 DHCS6249?A: DHCS6249 is a form used for appointing a representative for estate recovery in California.
Q: What is estate recovery?A: Estate recovery is a process by which the state of California may try to recover funds for long-term care services provided through certain programs.
Q: Who needs to fill out DHCS6249?A: DHCS6249 needs to be filled out by a person who has been appointed as a representative for estate recovery.
Q: What is the purpose of appointing a representative?A: The representative is responsible for addressing estate recovery claims and communicating with the state regarding the deceased individual's estate.
Form Details:
- Released on October 1, 2019;
- 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 DHCS6249 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
Download Form DHCS6249 Appointment of Representative - Estate Recovery - California
1
2
