Form Dhcs 0007 - California Acceptable Citizenship And Identity Documents (Armenian) - Health And Human Services Agency

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State of California – Health and Human Services Agency
Department of Health Care Services
ø³Õ³ù³óÇáõÃÛ³Ý »õ ÇÝùÝáõÃÛ³Ý Ù³ëÇÝ ÁݹáõÝ»ÉÇ ³å³óáõÛóÝ»ñ
Üáñ ûñ»ÝùÝ ³ëáõÙ ¿` Medi-Cal-Ç ¹ÇÙáÕÝ»ñÇ »õ Ýå³ëï³éáõÝ»ñÇ Ù»Í³Ù³ëÝáõÃÛáõÝÁ, áñáÝù ØdzóÛ³É Ü³Ñ³Ý·Ý»ñÇ
ù³Õ³ù³óÇÝ»ñ »Ý ϳ٠ù³Õ³ù³óÇ ¹³ñÓ³Í ³ÝÓ, å³ñï³íáñ »Ý Ý»ñϳ۳óÝ»É ³å³óáõÛó` ù³Õ³ù³óÇáõÃÛ³Ý »õ
ÇÝùÝáõÃÛ³Ý Ù³ëÇÝ։ Ø»Ýù ϳñáÕ »Ýù ÁݹáõÝ»É ÙdzÛÝ Ý»ñù»õáõÙ Ãí³ñÏí³Í ÷³ëï³ÃÕûñÁ: ºÃ» ¹áõù ãáõÝ»ù μÝûñÇݳÏ
÷³ëï³ÃáõÕÃÁ, ¹áõù å»ïù ¿ Ó»éù μ»ñ»ù ïíáÕ ·áñͳϳÉáõÃÛ³Ý ÏáÕÙÇó ѳëï³ïí³Í å³ï×»ÝÁ։ (ÎñÏÝûñÇݳÏÝ»ñÁ
ã»Ý ÁݹáõÝíáõÙ):
ØdzóÛ³É Ü³Ñ³Ý·Ý»ñÇ ù³Õ³ù³óÇÝ»ñÇ Ï³Ù ù³Õ³ù³óÇ ¹³ñÓ³Í ³ÝÓ³Ýó ѳٳñ ù³Õ³ù³óÇáõÃÛáõÝÁ »õ ÇÝùÝáõÃÛáõÝÝ
³å³óáõó»Éáõ ³Ù»Ý³Ñ»ßï ÙÇçáóÁ Ñ»ï»õÛ³É ÷³ëï³ÃÕûñÇó Ù»ÏÝ ¿.
— ØdzóÛ³É Ü³Ñ³Ý·Ý»ñÇ ³é³Ýó ë³Ñٳݳ÷³ÏÙ³Ý ïñí³Í ³ÝÓݳ·Çñ (ųÙÏ»ï³ÝóÝ»ñÝ ÁݹáõÝíáõÙ »Ý)
— ø³Õ³ù³óÇ ¹³éݳÉáõ Ù³ëÇÝ íÏ³Û³Ï³Ý (N-550 ϳ٠N-570)
— ØdzóÛ³É Ü³Ñ³Ý·Ý»ñÇ ø³Õ³ù³óÇáõÃÛ³Ý Ù³ëÇÝ íÏ³Û³Ï³Ý (N-560 ϳ٠N-561)
– Î²Ø –
ºÃ» ¹áõù ãáõÝ»ù í»ñ»õÇ ÷³ëï³ÃÕûñÇó áñ»õ¿ Ù»ÏÁ, Ý»ñϳ۳óñ»ù`
Ü»ñù»õáõÙ Ãí³ñÏáõ³Í ù³Õ³ù³óÇáõÃÛ³Ý Ù»Ï ÷³ëï³ÃáõÕÃ…
ØdzóÛ³É Ü³Ñ³Ý·Ý»ñÇ ÌÝÝ¹Û³Ý íÏ³Û³Ï³Ý (Birth Certificate)
¸³ßݳÛÇÝ Ï³Ù Ý³Ñ³Ý·³ÛÇÝ íÇ׳ϳ·ñ³Ï³Ý ³ñӳݳ·ñáõÃÛáõÝ,
áñÁ óáõÛó Ïï³ ¹ÇÙáñ¹Ç ï³ñÇùÁ »õ ØdzóÛ³É Ü³Ñ³Ý·Ý»ñÇ
ÌÝÝ¹Û³Ý Ù³ëÇÝ ï»Õ»Ï³Ýù (Certification of Report of Birth)
ù³Õ³ù³óÇáõÃÛáõÝ Ï³Ù ÍÝÝ¹Û³Ý í³Ûñ
(DS-1350)
ê»Ý»Ï³–ÑݹϳóÇ³Ï³Ý (Seneca Indian) ó»Õ³ÛÇÝ
²ñï³ë³ÑÙ³ÝáõÙ ØdzóÛ³É Ü³Ñ³Ý·Ý»ñÇ ù³Õ³ù³óáõó
* †
íÇ׳ϳ·ñ³Ï³Ý ³ñӳݳ·ñáõÃÛáõÝ
ÍÝí»Éáõ Ù³ëÇÝ ï»Õ»Ï³Ýù (Report of Birth Abroad of a U.S.
Citizen) (FS-240)
ܳí³Ñá ÑݹϳóÇÝ»ñÇ ·áñÍ»ñÇ μÛáõñáÛÇ ó»Õ³ÛÇÝ
íÇ׳ϳ·ñ³Ï³Ý ³ñӳݳ·ñáõÃÛáõÝ (Bureau of Indian Affairs
²ñï³ùÇÝ Ý³Ë³ñ³ñáõÃÛ³Ý ï»Õ»Ï³Ýù ÍÝÝ¹Û³Ý Ù³ëÇÝ
* †
Navajo Indians tribal census record)
(State Department Certification of Birth) (FS-545 ϳ٠DS-1350)
ØdzóÛ³É Ü³Ñ³Ý·Ý»ñÇ Ý³Ñ³Ý·³ÛÇÝ íÇ׳ϳ·ñáõÃÛ³Ý
ØdzóÛ³É Ü³Ñ³Ý·Ý»ñÇ ù³Õ³ù³óáõ ³ÝÓݳ·Çñ (U.S.
μ³Å³ÝÙáõÝùÇ ÍÝÝ¹Û³Ý ·ñ³ÝóÙ³Ý ÝßáõÙ՝ Çμñ»õ Ý»ñϳÛÇë áÕç
Citizen Identification Card) (I-197 ϳ٠I-179)
* †
³ÝÓ (ê.î. State Vital Statistics birth registration notification)
²Ù»ñÇϳóÇ Ðݹϳóáõ ù³ñï (American Indian Card) (I-872)
ØdzóÛ³É Ü³Ñ³Ý·Ý»ñÇ ù³Õ³ù³óÇ³Ï³Ý ÍÝÝ¹Û³Ý Ñ»ï³Ó·í³Í
ÐÛáõëÇë³ÛÇÝ Ø³ñdzݳÛÇ ù³ñï (Northern Marianas Card)
·ñ³ÝóáõÙ (a delayed U.S. public birth record), áñ ·ñ³Ýóí»É ¿
(I-873)
* †
³ÝÓÇ ÍÝݹÇó 5 ï³ñÇ »õ ³í»ÉÇ Ñ»ïá)
àñ¹»·ñÙ³Ý í»ñçÝ³Ï³Ý í×Çé (Final Adoption Decree), áñÁ
ÌÝÝ¹Û³Ý å³ÑÇÝ Ý»ñϳ μÅßÏÇ Ï³Ù Ù³Ýϳμ³ñÓÇ ÏáÕÙÇó
óáõÛó Ïï³ ØdzóÛ³É Ü³Ñ³Ý·Ý»ñáõÙ ÍÝí³Í ÙÇ í³Ûñ
* †
ëïáñ³·ñí³Í ѳÛï³ñ³ñáõÃÛáõÝ
ØdzóÛ³É Ü³Ñ³Ý·Ý»ñÇ ù³Õ³ù³óÇ ÍÝáÕÇ ÏáÕÙÇó ïñí³Í
* †
ÐݹϳóÇ³Ï³Ý ·áñÍ»ñÇ μÛáõñáÛÇó ²ÉÛ³ëϳÛÇ μÝÇÏÝ»ñÇ Ù³ïÛ³Ý
³å³óáõÛó` Çñ»Ýó ûñÇݳϳÝ/ýǽÇϳϳÝ
ÊݳÙùÇ Ï³Ù ËݳÙùÇ Ù³ëݳ·Çï³óí³Í í³ÛñÇ Ï³Ù ³ÛÉ
ËݳٳϳÉáõÃÛ³Ý ï³Ï ·ïÝíáÕ, ØdzóÛ³É Ü³Ñ³Ý·Ý»ñÇó
ϳ½Ù³Ï»ñåáõÃÛ³Ý ÁݹáõÝ»ÉáõÃÛ³Ý ÃÕûñ, áñáÝù óáõÛó Ïï³Ý
¹áõñë ÍÝí³Í »ñ»Ë³ÛÇ áñ¹»·ñÙ³Ý Ù³ëÇÝ (IR-3 ϳ٠IR-4)
*
ØdzóÛ³É Ü³Ñ³Ý·Ý»ñáõÙ ÍÝí³Í ÙÇ í³Ûñ
ܳËù³Ý 1976Ã. ÑáõÝÇëÇ 1-Ç ³Ùë³Ãíáí ØdzóÛ³É
´ÅßÏ³Ï³Ý ³ñӳݳ·ñáõÃÛáõÝ (Medical record)
ܳѳݷݻñÇ ù³Õ³ù³óÇ³Ï³Ý Í³é³ÛáõÃÛ³Ý ³å³óáõÛó
* †
(áã å³ïí³ëïáõÙÝ»ñÇ)
ÌÝÝ¹Û³Ý í³ÛñÁ óáõÛó ïíáÕ ØdzóÛ³É Ü³Ñ³Ý·Ý»ñÇ
½ÇÝíáñ³Ï³Ý ͳé³ÛáõÃÛ³Ý ³å³óáõÛó
* ä»ïù ¿ Ãí³·ñí³Í ÉÇÝÇ Ýí³½³·áõÛÝÁ 5 ï³ñÇ ³é³ç, ݳËù³Ý
³é³çÇÝ Medi-Cal-Ç ¹ÇÙáõÙݳ·ÇñÁ »õ óáõÛó ï³ ØdzóÛ³É
ÌÝáõÝ¹Ç Å³Ù³Ý³Ï ³ñí³Í ØdzóÛ³É Ü³Ñ³Ý·Ý»ñÇ
ܳѳݷݻñáõÙ ÍÝí³Í ÙÇ í³Ûñ:
* †
ÑÇí³Ý¹³ÝáóÇ ³ñӳݳ·ñáõÃÛáõÝ
† 16 ï³ñ»Ï³ÝÇó ÷áùñ »ñ»Ë³Ý»ñÇ Ñ³Ù³ñ å»ïù ¿ ³ñí³Í ÉÇÝÇ
ÎÛ³ÝùÇ, μÅßÏ³Ï³Ý Ï³Ù ³ÛÉ ³å³Ñáí³·ñ³Ï³Ý
ÍÝÝ¹Ç Å³Ù³Ý³ÏÇÝ Ùáï:
* †
³ñӳݳ·ñáõÃÛáõÝ
ÌÝÝ¹Û³Ý ûñí³ÝÇó ÙÇÝã»õ 3 ³ÙÇë ³Ùë³Ãíáí
àñù³Ý Ñݳñ³íáñ ¿, ¹áõù å»ïù ¿ Ý»ñϳ۳óÝ»ù óáõó³ÏÇ í»ñ»õÇ
³ñӳݳ·ñí³Í ØdzóÛ³É Ü³Ñ³Ý·Ý»ñÇ ºÏ»Õ»ó³Ï³Ý
Ù³ëáõÙ Ýßí³Í ÷³ëï³ÃáõÕÃ:
³ñӳݳ·ñáõÃÛáõÝ, áñÁ óáõÛó ¿ ï³ÉÇë ØdzóÛ³É
ºÃ» ¹áõù ã»ù ϳñáÕ Ý»ñϳ۳óÝ»É ù³Õ³ù³óÇáõÃÛ³Ý ³Ûë
ܳѳݷݻñáõÙ ÍÝÝ¹Û³Ý í³Ûñ áõ ³Ùë³ÃÇí ϳ٠ï³ñÇù
÷³ëï³ÃÕûñÇó áñ»õ¿ Ù»ÏÁ…
¸åñáó³Ï³Ý í³Õ ·ñ³ÝóáõÙ, áñÁ óáõÛó ¿ ï³ÉÇë ØdzóÛ³É
ܳѳݷݻñáõÙ ÍÝÝ¹Û³Ý í³Ûñ, ÁݹáõÝ»ÉáõÃÛ³Ý ³Ùë³ÃÇí,
ºñÏáõ ã³÷³Ñ³ëÝ»ñÇó Ëݹñ»ó»ù Éñ³óÝ»É »õ ëïáñ³·ñ»É
ÍÝÝ¹Û³Ý ³Ùë³ÃÇí, ÍÝáÕÇ ³ÝáõÝÝ»ñ »õ ÍÝÝ¹Û³Ý í³Ûñ»ñ
ø³Õ³ù³óÇáõÃÛ³Ý Ù³ëÇÝ Ñ³ëï³ï³·Çñ: â³÷³Ñ³ëÝ»ñÁ
»ñÏáõëÝ ¿É å»ïù ¿ áõÝ»Ý³Ý ÇÝùÝáõÃÛ³Ý »õ ØdzóÛ³É
ܳѳݷݻñÇ ù³Õ³ù³óÇáõÃÛ³Ý Ù³ëÇÝ ³å³óáõÛó, »õ
Ýñ³ÝóÇó Ù»ÏÁ ÙdzÛÝ Ï³ñáÕ ¿ Ó»ñ ³½·³Ï³ÝÁ ÉÇÝ»É:
ºì
Ü»ñù»õáõÙ Ãí³ñÏáõ³Í ÆÝùÝáõû³Ý Ù»Ï ÷³ëï³ÃáõÕÃ…
ì³ñáñ¹³Ï³Ý Çñ³íáõÝù՝ ïñí³Í ØdzóÛ³É Ü³Ñ³Ý·Ý»ñÇ
¸³ßݳÛÇÝ, ݳѳݷ³ÛÇÝ Ï³Ù ï»Õ³Ï³Ý ϳé³í³ñáõÃÛ³Ý
Ý³Ñ³Ý·Ç Ï³Ù ï³ñ³ÍùÇ ÏáÕÙÇó` Éáõë³Ýϳñáí ϳ٠³ÝÓÁ
ÇÝùÝáõÃÛ³Ý ù³ñï í³ñáñ¹³Ï³Ý Çñ³íáõÝùÇ ÝÙ³Ý ³ÝÓÁ
×ßïáÕ ³ÛÉ ï»Õ»ÏáõÃÛ³Ùμ
ѳëï³ïáÕ ï»Õ»ÏáõÃÛ³Ùμ
¸åñáó³Ï³Ý ÇÝùÝáõÃÛ³Ý ù³ñï` Éáõë³Ýϳñáí
ØdzóÛ³É Ü³Ñ³Ý·Ý»ñÇ ½ÇÝíáñ³Ï³ÝÇó ϳËÛ³É ÉÇÝ»Éáõ
ÇÝùÝáõÃÛ³Ý ù³ñï (ê.î. Military dependent identification card)
ØdzóÛ³É Ü³Ñ³Ý·Ý»ñÇ ½ÇÝíáñ³Ï³Ý ³ÝÓݳ·Çñ ϳÙ
ëïÇåáÕ³Ï³Ý Í³é³ÛáõÃÛ³Ý ³ñӳݳ·ñáõÃÛáõÝ
ØdzóÛ³É Ü³Ñ³Ý·Ý»ñÇ ³ÝÓݳ·Çñ (ê.î. passport)
(ê.î. Military I.D. card or draft record)
(ë³Ñٳݳ÷³ÏáõÃÛ³Ùμ ïñí³Í)
Þ³ñáõݳÏáõÃÛáõÝÁ »ï»õáõÙ
DHCS 0007 (12/07) – Armenian
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