Form DHCS0004 Request for California Birth Record - California

Form DHCS0004 Request for California Birth Record - California

What Is Form DHCS0004?

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.

FAQ

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.

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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 Vietnamese;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

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.

Download Form DHCS0004 Request for California Birth Record - California

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