形式:DHCS 0-11
- DHCS 0001 (05/09) – U.S. Citizens and Nationals Applying for Medi-Cal Must Show Proof of Citizenship and Identity
- DHCS 0002 (01/08) – 公民身分和身分證明 – 美國公民或國民的 Medi-Cal 受益人的新要求
- DHCS 0005 (02/08) – Receipt of Citizenship and Identity Documents
- DHCS 0007 (12/07) – Acceptable Citizenship and Identity Documents
- DHCS 0008 (01/08) – Proof of Citizenship and Identity Requirements – For Children who are U.S. Citizens or Nationals filling out the Heidhy Families/Medi-Cal Joint Application
- DHCS 0009 (09/07) – Affidavit of Identity for U.S. Citizen or National Children Under 18
- DHCS 0010 (01/08) – 居住在機構照護設施中的美國公民或國民的身份證明宣誓書
- DHCS 0011 (06/08) – Proof of Acceptable Citizenship or Identity Documents