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Printable Form 673 Santa Clarita California: What You Should Know

State of California — Department of Public Welfare. You may use Form 8802-1 from the California Department of Public Welfare (DSP), to confirm your MC eligibility. The Department of Public Welfare will verify whether you are eligible for Medicaid and will complete your income eligibility if you are not eligible for other state or federal benefits. This is a free link, use, copy, distribute, and modify as you like. Please note that it is in no way to be considered a recommendation. Also, it's important to note: This link is created for general information purposes only, and does not constitute advice. The department does not endorse any person, business, or organization's offerings, products, or services or other information, product, or service on the linked website, or in any other manner, or make any representation or warranties, express or implied, with respect thereto. It is recommended you seek the advice of your own medical practitioner or other qualified health information provider(s).

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