Form DHCS0003 Affidavit of Reasonable Effort to Get Proof of Citizenship - California (Lao)

Form DHCS0003 Affidavit of Reasonable Effort to Get Proof of Citizenship - California (Lao)

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

FAQ

Q: What is Form DHCS0003 Affidavit of Reasonable Effort to Get Proof of Citizenship?
A: Form DHCS0003 is a document used in California to provide an affidavit of reasonable effort to obtain proof of citizenship.

Q: Who needs to file Form DHCS0003 Affidavit of Reasonable Effort to Get Proof of Citizenship?
A: This form is typically filed by individuals who do not have proof of U.S. citizenship but are seeking benefits or services from the California Department of Health Care Services (DHCS).

Q: What is the purpose of filing Form DHCS0003 Affidavit of Reasonable Effort to Get Proof of Citizenship?
A: The purpose of filing this form is to demonstrate that the individual has made reasonable efforts to obtain proof of U.S. citizenship and is unable to provide such proof.

Q: What information is required on Form DHCS0003 Affidavit of Reasonable Effort to Get Proof of Citizenship?
A: The form requires personal information, details of the efforts made to obtain proof of citizenship, and a declaration signed by the applicant.

Q: Is there a fee for filing Form DHCS0003 Affidavit of Reasonable Effort to Get Proof of Citizenship?
A: No, there is no fee for filing this form.

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Form Details:

  • Released on June 1, 2007;
  • 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;

Download a printable version of Form DHCS0003 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form DHCS0003 Affidavit of Reasonable Effort to Get Proof of Citizenship - California (Lao)

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  • Form DHCS0003 Affidavit of Reasonable Effort to Get Proof of Citizenship - California (Lao), Page 1
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