Form MC371 Additional Family Members Requesting Medi-Cal - California (Arabic)

Form MC371 Additional Family Members Requesting Medi-Cal - California (Arabic)

This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California.

The document is provided in Arabic. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the purpose of Form MC371?
A: The purpose of Form MC371 is to add additional family members who are requesting Medi-Cal in California.

Q: Who can request Medi-Cal in California?
A: Any individual or family who meets the eligibility requirements can request Medi-Cal in California.

Q: What information is needed to complete Form MC371?
A: You will need to provide information about the additional family members, such as their names, dates of birth, and social security numbers.

Q: Is the form available in other languages?
A: Yes, Form MC371 is available in Arabic and other languages to accommodate non-English speakers.

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Form Details:

  • Released on June 1, 2009;
  • 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;

Download a printable version of Form MC371 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form MC371 Additional Family Members Requesting Medi-Cal - California (Arabic)

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