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Form DHCS0003 Affidavit of Reasonable Effort to Get Proof of Citizenship - California (Cambodian)
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 Cambodian. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form DHCS0003?
A: Form DHCS0003 is the Affidavit of Reasonable Effort to Get Proof of Citizenship specific to California (Cambodian).
Q: What is the purpose of Form DHCS0003?
A: The purpose of Form DHCS0003 is to attest that reasonable efforts have been made to obtain proof of citizenship for the individual.
Q: Who should use Form DHCS0003?
A: Form DHCS0003 is intended to be used by individuals in California of Cambodian descent who are unable to provide proof of their citizenship.
Q: What information is required in Form DHCS0003?
A: Form DHCS0003 requires the individual to provide their personal information, details of their efforts to obtain proof of citizenship, and any supporting documentation.
Q: Are there any fees associated with submitting Form DHCS0003?
A: No, there are no fees associated with submitting Form DHCS0003.
Q: What should I do after completing Form DHCS0003?
A: After completing Form DHCS0003, you should submit it to the appropriate DHCS office either in person or by mail.
Q: Is Form DHCS0003 specific to Cambodian individuals in California?
A: Yes, Form DHCS0003 is specific to individuals in California of Cambodian descent.
Q: What happens after I submit Form DHCS0003?
A: After submitting Form DHCS0003, the DHCS will review the information provided and determine the individual's eligibility for certain healthcare programs.
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.
