Form DHCS0005 Receipt of Citizenship and Identity Documents - California (Hmong)

Form DHCS0005 Receipt of Citizenship and Identity Documents - California (Hmong)

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 Hmong. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DHCS0005 Receipt of Citizenship and Identity Documents?
A: DHCS0005 Receipt of Citizenship and Identity Documents is a form used in California, specifically for the Hmong community, to verify citizenship and identity for certain health care programs.

Q: Why do I need to fill out DHCS0005 Receipt of Citizenship and Identity Documents?
A: You need to fill out DHCS0005 Receipt of Citizenship and Identity Documents to provide proof of your citizenship and identity for eligibility in certain health care programs in California.

Q: Who should fill out DHCS0005 Receipt of Citizenship and Identity Documents?
A: Hmong individuals who are applying for or are currently enrolled in certain health care programs in California should fill out DHCS0005 Receipt of Citizenship and Identity Documents.

Q: What information do I need to provide in DHCS0005 Receipt of Citizenship and Identity Documents?
A: In DHCS0005 Receipt of Citizenship and Identity Documents, you will need to provide your personal information, such as your name, address, date of birth, and social security number, as well as information about your citizenship and identity.

Q: Is there a fee for submitting DHCS0005 Receipt of Citizenship and Identity Documents?
A: No, there is no fee for submitting DHCS0005 Receipt of Citizenship and Identity Documents.

Q: How can I submit DHCS0005 Receipt of Citizenship and Identity Documents?
A: You can submit DHCS0005 Receipt of Citizenship and Identity Documents by mail or in person to your local health care agency in California.

Q: What happens after I submit DHCS0005 Receipt of Citizenship and Identity Documents?
A: After you submit DHCS0005 Receipt of Citizenship and Identity Documents, your information will be reviewed and verified for eligibility in the health care programs in California.

Q: Can I use DHCS0005 Receipt of Citizenship and Identity Documents for other purposes?
A: No, DHCS0005 Receipt of Citizenship and Identity Documents is specifically designed for verifying citizenship and identity for certain health care programs in California and cannot be used for other purposes.

Q: Is DHCS0005 Receipt of Citizenship and Identity Documents available in languages other than Hmong?
A: No, DHCS0005 Receipt of Citizenship and Identity Documents is currently only available in Hmong language for the Hmong community in California.

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Form Details:

  • Released on February 1, 2008;
  • 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 fillable version of Form DHCS0005 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form DHCS0005 Receipt of Citizenship and Identity Documents - California (Hmong)

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  • Form DHCS0005 Receipt of Citizenship and Identity Documents - California (Hmong), Page 1
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