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

Form DHCS0003 Affidavit of Reasonable Effort to Get Proof of Citizenship - 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 Form DHCS0003?
A: Form DHCS0003 is the Affidavit of Reasonable Effort to Get Proof of Citizenship.

Q: Who needs to fill out this form?
A: This form needs to be filled out by California residents who are applying for public benefits and are unable to provide proof of citizenship.

Q: What is the purpose of this form?
A: The purpose of this form is to declare that the applicant has made reasonable efforts to obtain proof of citizenship, but has been unsuccessful.

Q: Can I fill out this form in Chinese?
A: Yes, this form is available in Chinese for applicants who prefer to fill it out in that language.

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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 (Chinese)

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