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ASCMI Forms Translations

Return to the CalAIM ASCMI Initiative page

DHCS-0303 ASCMI Form AB 133
- Arabic, Armenian, Cambodian, Chinese-Simplified, Chinese-Traditional, Farsi, Hindi, Hmong, Japanese, Korean, Laotian, Mien, Punjabi, Russian, Spanish, Tagalog, Thai, Ukrainian, Vietnamese
DHCS-0309 ASCMI Form Non-AB 133
- Arabic, Armenian, Cambodian, Chinese-Simplified, Chinese-Traditional, Farsi, Hindi, Hmong, Japanese, Korean, Laotian, Mien, Punjabi, Russian, Spanish, Tagalog, Thai, Ukrainian, Vietnamese
DHCS-0310 ASCMI Revocation Form
- Arabic, Armenian, Cambodian, Chinese-Simplified, Chinese-Traditional, Farsi, Hindi, Hmong, Japanese, Korean, Laotian, Mien, Punjabi, Russian, Spanish, Tagalog, Thai, Ukrainian, Vietnamese

Fecha de la última modificación: 12/5/2025 11:15 AM