PDF
Word
Form DHCS0003 Affidavit of Reasonable Effort to Get Proof of Citizenship - California
What Is Form DHCS0003?
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 DHCS0003?
A: Form DHCS0003 is the Affidavit of Reasonable Effort to Get Proof of Citizenship in California.
Q: What is the purpose of Form DHCS0003?
A: The purpose of Form DHCS0003 is to declare that an individual has made reasonable efforts to obtain proof of citizenship or immigration status.
Q: When is Form DHCS0003 used?
A: Form DHCS0003 is used when applying for certain public benefits in California if the applicant is unable to provide proof of citizenship or immigration status.
Q: Who needs to fill out Form DHCS0003?
A: Individuals who are unable to provide proof of citizenship or immigration status when applying for public benefits in California should fill out Form DHCS0003.
Q: What information is required on Form DHCS0003?
A: Form DHCS0003 requires the individual to provide their personal information, reasons for inability to provide proof of citizenship or immigration status, and the efforts made to obtain such proof.
Q: Are there any supporting documents required with Form DHCS0003?
A: No, supporting documents are not required with Form DHCS0003, but the individual may be asked to provide additional evidence of their efforts to obtain proof of citizenship.
Q: How should I submit Form DHCS0003?
A: Form DHCS0003 should be submitted to the appropriate public assistance office or agency where you are applying for benefits.
Q: Is there a fee to submit Form DHCS0003?
A: No, there is no fee to submit Form DHCS0003.
Q: What happens after submitting Form DHCS0003?
A: After submitting Form DHCS0003, the public assistance office will review the information provided and determine the individual's eligibility for benefits based on their reasonable efforts to obtain proof of citizenship.
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 Tagalog;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form DHCS0003 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
