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 DHCS6249?
A: DHCS6249 is a form used for appointing a representative for estate recovery in California.
Q: What is estate recovery?
A: Estate recovery is a process by which the state of California may try to recover funds for long-term care services provided through certain programs.
Q: Who needs to fill out DHCS6249?
A: DHCS6249 needs to be filled out by a person who has been appointed as a representative for estate recovery.
Q: What is the purpose of appointing a representative?
A: The representative is responsible for addressing estate recovery claims and communicating with the state regarding the deceased individual's estate.
Form Details:
Download a fillable version of Form DHCS6249 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.