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Form DHCS0011 Proof of Acceptable Citizenship or Identity Documents - California (Chinese)
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 Chinese. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the Form DHCS0011?
A: Form DHCS0011 is a proof of acceptable citizenship or identity documents form required by the California Department of Health Care Services (DHCS).
Q: Who needs to fill out Form DHCS0011?
A: Anyone applying for health care benefits in California, who needs to prove their citizenship or identity, may be required to fill out Form DHCS0011.
Q: What is the purpose of Form DHCS0011?
A: The purpose of Form DHCS0011 is to provide a list of acceptable documents that can be used as proof of citizenship or identity when applying for health care benefits in California.
Q: What documents are accepted as proof of citizenship or identity?
A: The list of acceptable documents may include a US passport, US birth certificate, permanent resident card, driver's license, or state ID card.
Q: Do I need to include original documents with Form DHCS0011?
A: No, you should not send original documents with Form DHCS0011. Photocopies or other certified copies of the documents are accepted.
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.
