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State of California Health and Human Services Agency California Department of Social Services DENT IFI CATION AND EMERGENCY Y INFORMATION CHILD CARE CENTERS/FAMILY CH OLD CARE HOMES To Be Completed
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Obtain the necessary forms from the California Health and Human Services website or your local office.
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Fill out the personal information section including your name, address, contact information, and social security number.
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Provide information about your household including the number of people living with you, their ages, and any income they may have.
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Answer the questions about your current health insurance coverage, if any.
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Sign and date the form, and submit it to the appropriate office either in person or by mail.

Who needs california health and human?

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Residents of California who are in need of health and human services such as medical assistance, food assistance, childcare assistance, and other social services.
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California Health and Human Services is a government agency responsible for providing healthcare, social services, and assistance programs to residents of California.
Individuals and families who meet certain eligibility criteria may be required to file for California Health and Human Services programs.
To fill out California Health and Human Services applications, individuals must provide personal information, income details, and other relevant documentation.
The purpose of California Health and Human Services is to ensure that residents have access to essential healthcare and social services programs to improve their well-being.
Applicants may need to report personal information, household income, expenses, and other relevant details to determine eligibility for California Health and Human Services programs.
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