Form DHCS0003 Affidavit of Reasonable Effort to Get Proof of Citizenship - California (Russian)

Form DHCS0003 Affidavit of Reasonable Effort to Get Proof of Citizenship - California (Russian)

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

FAQ

Q: What is the Form DHCS0003 Affidavit of Reasonable Effort to Get Proof of Citizenship?
A: Form DHCS0003 is an affidavit used in California to declare the efforts made to obtain proof of citizenship.

Q: What is the purpose of the Form DHCS0003 Affidavit?
A: The purpose of this form is to explain the efforts made to obtain proof of citizenship for eligibility purposes.

Q: Who needs to fill out the Form DHCS0003 Affidavit?
A: Anyone in California who is unable to provide proof of citizenship for certain benefits may need to fill out this form.

Q: What information is required on the Form DHCS0003 Affidavit?
A: The form asks for personal details, reasons for inability to obtain proof of citizenship, and efforts made to obtain the proof.

Q: Are there any fees associated with the Form DHCS0003 Affidavit?
A: No, there are no fees associated with filling out this form.

Q: Do I need to provide supporting documents with the Form DHCS0003 Affidavit?
A: Supporting documents may be required, such as letters from government agencies or individuals who can verify the efforts made.

Q: What happens after I submit the Form DHCS0003 Affidavit?
A: After submission, the information provided will be evaluated to determine eligibility for benefits.

Q: Is the Form DHCS0003 Affidavit available in languages other than Russian?
A: Yes, the form is available in multiple languages to accommodate different individuals.

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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 Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form DHCS0003 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form DHCS0003 Affidavit of Reasonable Effort to Get Proof of Citizenship - California (Russian)

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  • Form DHCS0003 Affidavit of Reasonable Effort to Get Proof of Citizenship - California (Russian), Page 1
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