Medi-Cal Eligibility Division Translated Forms: Korean

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Medi-Cal Eligibility Division (MCED)​ forms are listed below, alphabetically, by form number and has been translated into Korean. ​

PDF fill and print forms may be completed online and printed to hardcopy to be signed and mailed in or submitted in person to an eligibility worker for processing.

​DHCS Forms: Korean

• DHCS 0001 (01/08) (Kor) - U.S. Citizens and Nationals Applying for Medi-Cal Must Show Proof of Citizenship and Identity
• DHCS 0002 (01/08) (Kor) - Proof of Citizenship and Identity--New Requirements for Medi-Cal Beneficiaries Who Are U.S. Citizens or Nationals
  
• DHCS 0005 (02/08) (Kor) - Receipt of Citizenship or Identity Documents
• ​DHCS 0007 (12/07) (Kor) - Acceptable Citizenship and Identity Documents
  
• DHCS 0008 (01/08) (Kor) - Proof of Citizenship and Identity Requirements for Children Who Are U.S. Citizens or Nationals Filling Out the Healthy Families
• DHCS 0009 (09/07) (Kor) - Affidavit of Identity for U.S. Citizen or National Children Under 18
• DHCS 0011 (06/08) (Kor) - Proof of Acceptable Citizenship or Identity Documents​