Form MC223 C Supplemental Statement of Facts for Medi-Cal Child Applicant Only - Under Age 18 - California (Armenian)

Form MC223 C Supplemental Statement of Facts for Medi-Cal Child Applicant Only - Under Age 18 - California (Armenian)

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 Armenian. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the purpose of Form MC223 C?
A: Form MC223 C is used as a supplemental statement of facts for Medi-Cal child applicants under the age of 18 in California (Armenian version).

Q: Who should use Form MC223 C?
A: This form should be used by Medi-Cal child applicants who are under the age of 18 in California and speak Armenian.

Q: What information should be provided in Form MC223 C?
A: Form MC223 C requires the applicant to provide additional facts and details related to their eligibility for Medi-Cal.

Q: Is Form MC223 C specific to California?
A: Yes, Form MC223 C is specific to California and is intended for use by Medi-Cal child applicants under the age of 18 in the state.

Q: Is Armenian the only language available for Form MC223 C?
A: No, Form MC223 C is available in multiple languages to accommodate applicants with different language preferences.

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Form Details:

  • Released on June 1, 2011;
  • 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 MC223 C by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form MC223 C Supplemental Statement of Facts for Medi-Cal Child Applicant Only - Under Age 18 - California (Armenian)

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  • Form MC223 C Supplemental Statement of Facts for Medi-Cal Child Applicant Only - Under Age 18 - California (Armenian)

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