Fill and Sign California Legal Forms

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This form is used for consenting to the bridging of benefits between Medi-Cal and Healthy Families programs in California. It is available in Arabic.

This form is used for obtaining consent to transition from Medi-Cal to Healthy Families program in California. It is available in Chinese.

This type of document is a consent form used to transition from Medi-Cal to Healthy Families program in California for Hmong individuals.

This Form is used for transmitting a determination of a ward's/inmate's Medi-Cal eligibility to the CDCR Public Benefit Specialist in California.

This Form is used for conducting an assessment of Supplemental Security Income (SSI) eligibility in the state of California. It helps determine an individual's qualifications for receiving SSI benefits.

This form is used for individuals in California who were in foster care placement on their 18th birthday and are now between 18 and 21 years old. It is an application and statement of facts for various purposes related to their foster care status.

This form is used for individuals in California to request a third-party assessment for their welfare-to-work program.

This Form is used for the annual redetermination of Medi-Cal eligibility in California. It is available in Vietnamese.

Use this document to inform your residential care facility of care needs, diagnosis, and mental condition of an elderly person.

This form is used for notifying the Medi-Cal program in California about admissions and discharges from long-term care facilities.

This form is used for applying and providing statements of facts for a child who does not live with a parent or relative and is being financially supported by a public agency in California.

This form is used for making a referral for Qualified Medicare Beneficiaries (QMB) in California.

This form is used for the investigation of suspected dependent adult or elder abuse in California. It is important for reporting any suspected cases of abuse to protect vulnerable adults.

This form serves as a property supplement for residents in California who speak Chinese. It provides additional information related to property ownership and rights.

This form is used for disclosing travel payments, advances, and reimbursements made to nonprofit organizations in California.

Download this form, which is a medical certification submitted by a licensed health care professional to sanction the disabled, blind, or elderly access for services from the In-Home Supportive Services (IHSS) program.

This Form is used for creating a budget worksheet for participants of the California CalWORKs program. It helps individuals or families on welfare to plan and manage their finances effectively.

This form is used for changing the ownership of an IHSS (In-Home Supportive Services) qualified agency in California. It is required when there is a change in the ownership structure or control of the agency.

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