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Form DHCS0010 Affidavit of Identity for U.S. Citizen or National for Disabled Individuals Living in Institutional Care Facilities - California
What Is Form DHCS0010?
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 form DHCS0010?
A: Form DHCS0010 is the Affidavit of Identity for U.S. Citizen or National for Disabled Individuals Living in Institutional Care Facilities in California.
Q: Who is this form for?
A: This form is for disabled individuals who are U.S. citizens or nationals and are living in institutional care facilities in California.
Q: What is the purpose of form DHCS0010?
A: The purpose of this form is to provide proof of identity for disabled individuals living in institutional care facilities in California.
Q: Is form DHCS0010 mandatory?
A: Yes, form DHCS0010 is mandatory for disabled individuals living in institutional care facilities in California.
Q: What information do I need to provide on form DHCS0010?
A: On form DHCS0010, you need to provide your personal information, such as your name, date of birth, and Social Security number, as well as information about your institutional care facility.
Q: Are there any supporting documents required with form DHCS0010?
A: Yes, you need to submit a copy of your birth certificate or U.S. passport as supporting documentation with form DHCS0010.
Form Details:
- Released on January 1, 2008;
- 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;
- Fill out the form in our online filing application.
Download a printable version of Form DHCS0010 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
