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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困难豁免申请及其他与困难豁免申请有关的文件可以通过电子邮件提交至HW@DHCS.CA.GOV或通过邮寄方式提交。
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• 困难豁免申请，DHCS 6195 (09/20)​​ 
• 中等价值宅基地困难豁免插页​​ 
• 金融困难申请，DHCS 6195SP (12/20)
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• 金融困难执行的附加标准​​ 
  

联系信息​​ 

困难豁免电子邮件： HW@DHCS.CA.GOV
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