Form DHCS0011 Proof of Acceptable Citizenship or Identity Documents - California (Vietnamese)

Form DHCS0011 Proof of Acceptable Citizenship or Identity Documents - California (Vietnamese)

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.

FAQ

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.

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Form Details:

  • Released on June 1, 2008;
  • 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 DHCS0011 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form DHCS0011 Proof of Acceptable Citizenship or Identity Documents - California (Vietnamese)

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