Form DHCS0005 Receipt of Citizenship or Identity Documents - California (Arabic)

Form DHCS0005 Receipt of Citizenship or Identity Documents - California (Arabic)

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

FAQ

Q: What is the purpose of the DHCS0005 form?
A: The form is used to provide proof of citizenship or identity for obtaining health care services in California.

Q: Who can use the DHCS0005 form?
A: This form can be used by individuals who are applying for or receiving health care services in California.

Q: What documents can be used as proof of citizenship or identity?
A: Acceptable documents include U.S. passport, Certificate of Naturalization, Permanent Resident Card, and other similar identification documents.

Q: How should I complete the DHCS0005 form?
A: You should carefully fill out all the required sections of the form, providing accurate information about your citizenship or identity documents.

Q: Is there a fee to submit the DHCS0005 form?
A: No, there is no fee associated with submitting this form.

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Form Details:

  • Released on February 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 DHCS0005 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form DHCS0005 Receipt of Citizenship or Identity Documents - California (Arabic)

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  • Form DHCS0005 Receipt of Citizenship or Identity Documents - California (Arabic), Page 1
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