Form Dhcs 0007 - California Acceptable Citizenship And Identity Documents (Armenian) - Health And Human Services Agency Page 2

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State of California – Health and Human Services Agency
Department of Health Care Services
ÐݹϳóÇ³Ï³Ý ²ñÛ³Ý ²ëïÇ׳ÝÇ ìÏ³Û³Ï³Ý (Certificate
16 ï³ñ»Ï³ÝÇó ÷áùñ »ñ»Ë³ÛÇ Ñ³Ù³ñ, áñÁ ãáõÝÇ ù³Õ³ù³óÇáõÃÛ³Ý
of Degree of Indian Blood) ϳ٠³ÛÉ` ØdzóÛ³É Ü³Ñ³Ý·Ý»ñÇ
Ù³ëÇÝ Ñ³ëï³ï³·Çñ, ¹áõù ϳñáÕ »ù Ý»ñϳ۳óÝ»É`
²Ù»ñÇÏÛ³Ý ÐݹϳódzϳÝ/²ÉÛ³ëϳÛÇ μÝÇÏ ó»Õ³ÛÇÝ
ÌÝÝ¹Û³Ý í³ÛñÁ »õ ³Ùë³ÃÇíÁ óáõÛó ïíáÕ »ñ»Ë³ÛÇ ÇÝùÝáõÃÛ³Ý
÷³ëï³ÃáõÕà (ê.î. American Indian/Alaska Native Tribal
Ù³ëÇÝ Ñ³ëï³ï³·Çñ` ëïáñ³·ñí³Í »ñ»Ë³ÛÇ ÍÝáÕÇ,
document)
ËݳٳϳÉÇ Ï³Ù ËݳÙáÕ ³½·³Ï³ÝÇ ÏáÕÙÇó:
ØdzóÛ³É Ü³Ñ³Ý·Ý»ñÇ Ìáí³ÛÇÝ ë³Ñٳݳå³Ñ áõÅ»ñÇ
Medi-Cal ϳ٠Healthy Families/Medi-Cal ÙdzóÛ³É ¹ÇÙáõÙݳ·Çñ,
³é»õïñ³Ï³Ý-Íáí³ÛÇÝ ù³ñï (ê.î. Coast Guard Merchant
áñÁ óáõÛó Ïï³ »ñ»Ë³ÛÇ ÍÝÝ¹Û³Ý ÃÇíÁ »õ í³ÛñÁ »õ áñÁ
Mariner Card)
ëïáñ³·ñí³Í ÏÉÇÝÇ »ñ»Ë³ÛÇ ÍÝáÕÇ, ËݳٳϳÉÇ Ï³Ù ËݳÙáÕ
ºñ»ù ϳ٠³í»ÉÇ Ñ³ëï³ïáÕ ïÇåÇ ÷³ëï³ÃÕûñ, ÇÝãå»ë
³½·³Ï³ÝÇ ÏáÕÙÇó:
³ß˳ï³Ýù³ÛÇÝ ID ù³ñï, high school-Ç Ï³Ù ùáÉ»çÇ
18 ï³ñ»Ï³ÝÇó ÷áùñ »ñ»Ë³ÛÇ Ñ³Ù³ñ ϳñ»ÉÇ ¿ û·ï³·áñÍ»É
íϳ۳ϳÝ, ³ÙáõëÝáõÃÛ³Ý íϳ۳ϳÝ, ³ÙáõëݳÉáõÍáõÃÛ³Ý
»ñ»Ë³ÛÇ ÇÝùÝáõÃÛ³Ý Ù³ëÇÝ Ñ³ëï³ï³·Çñ` ëïáñ³·ñí³Í »ñ»Ë³ÛÇ
í×Çé, ÇÝãå»ë ݳ»õ ϳÉí³ÍÇ í³í»ñ³·ñ»ñ/ë»÷³Ï³Ý³ÃÕûñ
ÍÝáÕÇ, ËݳٳϳÉÇ Ï³Ù ËݳÙáÕ ³½·³Ï³ÝÇ ÏáÕÙÇó, »Ã»
16 ï³ñ»Ï³ÝÇó ÷áùñ »ñ»Ë³ÛÇ Ñ³Ù³ñ ÏÉÇÝÇϳÛÇ, μÅßÏÇ Ï³Ù
¹åñáó³Ï³Ý ID ù³ñï ϳ٠í³ñáñ¹³Ï³Ý Çñ³íáõÝù ïñ³Ù³¹ñ»ÉÇ ã»Ý:
ÑÇí³Ý¹³ÝáóÇ ³ñӳݳ·ñáõÃÛáõÝÝ»ñ
ÜßáõÙ. ÆÝùÝáõÃÛ³Ý Å³ÙÏ»ï³Ýó ÷³ëï³ÃÕûñÁ ÇÝùÝáõÃÛ³Ý
16 ï³ñ»Ï³ÝÇó ÷áùñ »ñ»Ë³ÛÇ Ñ³Ù³ñ ¹åñáóÇ, Ù³ÝϳÙëáõñÇ
ÁݹáõÝ»ÉÇ ³å³óáõÛóÝ»ñ »Ý:
ϳ٠ó»ñ»Ï³ÛÇÝ ËݳÙùÇ ·ñ³ÝóáõÙÝ»ñ, Ý»ñ³éÛ³É
ï»Õ»Ï³ÝùÝ»ñ: ø³áõÝÃÇÝ Ïëïáõ·Ç
¹åñáóÇ Ñ»ï:
гëï³ï³·Çñ ëïáñ³·ñí³Í ïÝûñ»ÝÇ Ï³Ù Ï³é³í³ñãÇ
ÏáÕÙÇó μݳϳñ³Ý³ÛÇÝ ËݳÙùÇ í³ÛñáõÙ ³åñáÕ
ѳßٳݹ³ÙÝ»ñÇ Ñ³Ù³ñ
DHCS 0007 (12/07) – Armenian
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