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 Vietnamese. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form DHCS0011?
A: Form DHCS0011 is a document used in California to provide proof of acceptable citizenship or identity.
Q: Who needs to fill out Form DHCS0011?
A: Any individual in California who needs to prove their citizenship or identity may need to fill out Form DHCS0011.
Q: What is the purpose of Form DHCS0011?
A: The purpose of Form DHCS0011 is to establish an individual's eligibility for certain health care programs or services in California.
Q: What documents are required to be submitted with Form DHCS0011?
A: Form DHCS0011 requires certain documents to be submitted as proof of citizenship or identity, such as a valid passport, birth certificate, or driver's license.
Q: Is Form DHCS0011 available in languages other than English?
A: Yes, Form DHCS0011 is available in languages other than English, including Vietnamese.
Q: Is there a fee to submit Form DHCS0011?
A: There is no fee to submit Form DHCS0011. However, the cost of obtaining the required documents may vary.
Q: What should I do if I have questions or need assistance with Form DHCS0011?
A: If you have questions or need assistance with Form DHCS0011, you can contact the California Department of Health Care Services or seek help from a local health care office.
Form Details:
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.