DHCS will waive an applicant’s proportionate share of the claim if an Application for Hardship Waiver, DHCS 6195 (06/19) is submitted within 60 days of the date on the Estate Recovery claim letter and one or more of the substantial hardship criteria apply. This criterion may be found on pages 4 & 5 of the Hardship Waiver Application. For deaths occurring on or after January 1st, 2017 there is additional hardship waiver criteria.
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Cov ntawv thov rau Hardship Waiver thiab lwm cov ntaub ntawv hais txog Cov Ntawv Thov Kev Nyuaj Siab tuaj yeem xa los ntawm email rau HW@DHCS.CA.GOV lossis xa ntawv. 
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• Daim Ntawv Thov Kev Nyuaj Siab, DHCS 6195 (09/20)​​ 
• Homestead of Modest Value Hardship Waiver Insert​​ 
• Solicitud de exención por dificultades financieras, DHCS 6195SP (12/20)
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• Criterio adicional para la exención por dificultades financieras​​ 
  

Cov ntaub ntawv tiv tauj​​ 

Hardship Waiver Email: HW@DHCS.CA.GOV
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