Medi-Cal Eligibility Division Translated Forms: Russian

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

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

MC Forms: Russian

MC Information Notices: Russian

MC Information Notice 003 (05/13) (Rus) - Early and Periodic Screening, Diagnosis, and Treatment Services

Last modified date: 6/15/2023 4:41 PM