Vim muaj ntau daim ntawv qhia tau txais, koj yuav tsis tau txais kev lees paub ntawm daim ntawv qhia tau txais. Thov siv cov Daim Ntawv Qhia Txog Kev Pab Tiv Thaiv Kev Hnov Lus (HCP) xwb. Yog xav tau email, fax lossis xa ntawv, thov saib cov lus qhia xa ntawv teev hauv qab no.​​ 

Yuav kom saib tau los yog txuag tau cov ntawv rau hauv koj lub computer, koj yuav tsum muaj Adobe Acrobat. Yog tias koj tsis muaj Adobe Acrobat Reader, qhov tseeb version ntawm Acrobat Reader muaj pub dawb rau rub tawm ntawm Adobe lub Website (Tsis yog DHCS).​​ 

COV NTAWV QHIA HCP — Thov siv cov ntawv qhia HCP hauv xeev uas tau muab rau hauv qab no xwb​​ 

• Daim Ntawv Qhia Txhua Xyoo Txog Kev Ntsuas Kev Hnov Lus PM 100 (pdf)
  Daim ntawv no yuav raug xa email, faxed lossis xa mus rau HCP.
  Thov saib cov lus qhia ntawm hauv qab no.​​ 
• Daim Ntawv Thov Zam Kev Tshuaj Xyuas Kev Hnov Lus PM 359 (pdf)
  Thov Nco Ntsoov: Daim ntawv no yuav raug xa email, faxed lossis xa mus rau HCP.
  Thov saib cov lus qhia ntawm hauv qab no.​​ 
• Daim Ntawv Thov Rau Kev Sau Npe Ua Tus Kws Kho Mob Pob Ntseg Hauv Tsev Kawm Ntawv DHCS 101 (pdf)
  
  ** Thov Nco Ntsoov: Daim ntawv no muaj cov ntaub ntawv zais cia thiab/lossis xav tau tus kos npe thawj.
  
  Daim ntawv no yuav tsum tau xa mus rau qhov chaw nyob ntawm
  HCP uas teev hauv qab no.​​ 
• Kev Sau Npe ntawm Lub Chaw Haujlwm Uas Xav Muab Kev Pabcuam Kuaj Kev Hnov Lus PM 210 (pdf)
  ** Thov Nco Ntsoov: Daim ntawv no muaj cov ntaub ntawv zais cia thiab/lossis xav tau tus kos npe thawj.
  
  Daim ntawv no yuav tsum tau xa mus rau qhov chaw nyob ntawm
  HCP uas teev hauv qab no.​​ 

Yog Txuag lossis xa email rau koj daim ntawv​​ 

1. Cov ntawv yog PDF Forms thiab koj yuav tsum muaj Adobe Acrobat Reader. Yog koj tsis muaj Adobe Acrobat Reader, qhov version tshiab kawg no muaj pub dawb rau rub tawm ntawm Adobe lub Website (Tsis yog DHCS).​​ 
2. Sau Lub Tsev Kawm Ntawv Lub Npe rau hauv daim ntawv, khaws thiab kaw daim ntawv​​ 
3. Rov qhib daim foos dua kom paub tseeb tias koj cov ntaub ntawv thiab/lossis cov kev hloov pauv tau raug cawm dim lawm​​ 
4. Sau koj cov ntaub ntawv rau ntawm daim foos​​ 
5. Txuag thiab kaw daim ntawv​​ 
6. Ua ntej xa email rau daim ntawv, xyuas daim ntawv kom paub meej tias tag nrho koj cov ntaub ntawv tau raug cawm​​ 
7. Xa daim foos mus rau qhov chaw nyob email ntawm HCP uas teev hauv qab no​​ 
8. Thov siv cov daim ntawv HCP uas muab rau ntawm lub vev xaib no xwb​​ 
9. Thov nco ntsoov: Tsuas yog cov ntawv PM 100 thiab PM 359 thiaj li xa tau email lossis faxed. Txhua daim ntawv uas xav tau kos npe thawj thiab/lossis muaj cov ntaub ntawv zais cia yuav tsum xa mus rau qhov chaw nyob hauv qab no.​​ 

Cov lus qhia xa ntawv​​ 

• Email: hearingconservationprogram@dhcs.ca.gov Thov Nco Ntsoov: Tsuas yog cov ntawv PM 100 thiab/lossis PM 359 thiaj li xa tau email, faxed lossis xa ntawv xwb. Tag nrho lwm daim ntawv yuav tsum tau kos npe thawj thiab/lossis muaj cov ntaub ntawv zais cia thiab yuav tsum xa mus rau qhov chaw nyob HCP teev hauv qab no.​​ 
• Fax: (916) 323-5316 – Please Note: Only the PM 100 and/or PM 359 Forms may be emailed, faxed or mailed. All other forms require original signature and/or contain confidential information and must be mailed to the HCP address listed below.​​ 
• Xa Ntawv: ** Txhua daim ntawv yuav raug xa mus rau qhov chaw nyob HCP teev hauv qab no.​​ 

Kev Pab Cuam Tiv Thaiv Kev Hnov Lus
Cov Kev Pab Kho Mob Rau Menyuam
Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv
PO Lub thawv xa ntawv 997413, MS 8102
Sacramento, CA 95899-7413​​