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

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

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

FAQ

Q: What is Form DHCS0003?
A: Form DHCS0003 is the Affidavit of Reasonable Effort to Get Proof of Citizenship.

Q: What is the purpose of Form DHCS0003?
A: The purpose of Form DHCS0003 is to declare the efforts made to obtain proof of citizenship for benefits received in California.

Q: Who should use Form DHCS0003?
A: Form DHCS0003 should be used by individuals who are unable to provide documentation of their citizenship but have made reasonable efforts to obtain it.

Q: What are the supporting documents required with Form DHCS0003?
A: Supporting documents required with Form DHCS0003 include copies of documents used to attempt to establish citizenship, such as birth certificates or naturalization papers.

ADVERTISEMENT

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 (Korean)

4.3 of 5 (55 votes)
  • Form DHCS0003 Affidavit of Reasonable Effort to Get Proof of Citizenship - California (Korean), Page 1
ADVERTISEMENT