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 Farsi. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the Form MC223 C?
A: Form MC223 C is the Supplemental Statement of Facts for Medi-Cal Child Applicant Only - Under Age 18 in California (Farsi version).
Q: Who is the intended applicant for this form?
A: This form is intended for children under the age of 18 who are applying for Medi-Cal in California.
Q: What is the purpose of the Form MC223 C?
A: The purpose of Form MC223 C is to provide supplemental information and statement of facts for Medi-Cal child applicants in California.
Q: Is this form available in Farsi language?
A: Yes, this form is available in Farsi language.
Form Details:
Download a printable version of Form MC223 C by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.