PDF
Word
Form DHCS0011 Proof of Acceptable Citizenship or Identity Documents - California (English / Farsi)
What Is Form DHCS0011?
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 DHCS0011?
A: DHCS0011 is a form for providing proof of acceptable citizenship or identity documents in California.
Q: What is the purpose of DHCS0011?
A: The purpose of DHCS0011 is to verify an individual's citizenship or identity for healthcare services in California.
Q: Who needs to fill out DHCS0011?
A: DHCS0011 needs to be filled out by individuals who are applying for healthcare services in California.
Q: Is DHCS0011 available in multiple languages?
A: Yes, DHCS0011 is available in English and Farsi.
Form Details:
- Released on June 1, 2008;
- The latest edition provided by the California Department of Health Care Services;
- Easy to use and ready to print;
- Available in Spanish;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form DHCS0011 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
