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 Farsi. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DHCS0011?
A: DHCS0011 is a form used in California to provide proof of acceptable citizenship or identity documents.
Q: What is the purpose of DHCS0011?
A: The purpose of DHCS0011 is to verify a person's citizenship or identity when applying for certain benefits.
Q: Who needs to fill out DHCS0011?
A: Anyone applying for certain benefits in California that require proof of citizenship or identity needs to fill out DHCS0011.
Q: What documents are required for proof of citizenship or identity?
A: The specific documents required for proof of citizenship or identity are listed on DHCS0011 form itself.
Q: Can the DHCS0011 form be filled out in languages other than English?
A: Yes, DHCS0011 is available in multiple languages, including Farsi for speakers of Farsi.
Form Details:
Download a fillable version of Form DHCS0011 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.