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 Form MC371?
A: Form MC371 is a request form for additional family members requesting medical coverage in California.
Q: Who can use Form MC371?
A: Form MC371 can be used by individuals in California who want to add family members to their medical coverage.
Q: What is the purpose of Form MC371?
A: The purpose of Form MC371 is to request medical coverage for additional family members in California.
Q: How do I fill out Form MC371?
A: You need to provide your personal information, such as name and contact details, as well as the information of the family members you want to add to your medical coverage.
Q: What documents do I need to submit with Form MC371?
A: You may need to submit supporting documents such as proof of relationship or proof of residency for the family members you want to add to your medical coverage.
Form Details:
Download a printable version of Form MC371 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.