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STATE OF CALIFORNIAHEALTH AND HUMAN SERVICES AGENCY Gray Davis, Governor DEPARTMENT OF SOCIAL SERVICES 744 P Street, Sacramento, California 95814 REASON FOR THIS TRANSMITTAL DATE: May 4, 2001, ALL
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Start by gathering all necessary information and documents such as your personal details, income information, and any relevant healthcare documents.
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The state of California Health and is a form used to report health insurance coverage for California residents.
All California residents who have health insurance coverage are required to file the state of California Health and form.
To fill out the state of California Health and form, you must provide information about your health insurance coverage, including the provider and policy number.
The purpose of the state of California Health and form is to ensure that all California residents have health insurance coverage as required by law.
The state of California Health and form requires information about the health insurance provider, policy number, and coverage dates.
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