This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the DHCS0004 form?
A: The DHCS0004 form is the Request for California Birth Record form.
Q: What is the purpose of the DHCS0004 form?
A: The purpose of the DHCS0004 form is to request a birth record from the state of California.
Q: What information is required on the DHCS0004 form?
A: The DHCS0004 form requires information such as the individual's full name, date of birth, place of birth, and the purpose for which the birth record is being requested.
Q: Is there a fee for submitting the DHCS0004 form?
A: Yes, there is a fee for submitting the DHCS0004 form. The fee varies depending on the type of service requested.
Q: How long does it take to process a DHCS0004 form?
A: The processing time for a DHCS0004 form varies depending on the method of application and the workload of the California Department of Public Health.
Q: What can I do if I need a birth record urgently?
A: If you need a birth record urgently, you can request expedited service for an additional fee.
Q: Can I use the DHCS0004 form to request a birth record from another state?
A: No, the DHCS0004 form is specifically for requesting a birth record from the state of California.
Q: What should I do if there are errors on my submitted DHCS0004 form?
A: If there are errors on your submitted DHCS0004 form, you should contact the California Department of Public Health for guidance on how to correct the errors.
Q: Can I request a birth record for someone other than myself on the DHCS0004 form?
A: Yes, you can request a birth record for someone other than yourself on the DHCS0004 form, but you may need to provide additional documentation or meet certain eligibility criteria.
Form Details:
Download a fillable version of Form DHCS0004 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.