Loading
Get Dhs 9042 Form
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Dhs 9042 Form online
Completing the Dhs 9042 Form online is a straightforward process that enables users to apply for a medical marijuana identification card in California. This guide provides step-by-step instructions to help you accurately fill out the form online.
Follow the steps to successfully complete the Dhs 9042 Form online.
- Press the ‘Get Form’ button to access the Dhs 9042 Form and open it in your preferred online editor.
- Begin filling out Section 1 by providing your name, mailing address, and contact information. Indicate whether you are under 18 years of age.
- If you are a minor applicant, proceed to Section 2 to complete the information for the parent, legal guardian, or individual with authority to make medical decisions.
- In Section 3, answer whether the applicant is capable of making their own medical decisions. If not, include the contact details of the person acting on the applicant’s behalf.
- For primary caregivers, Section 4 requires filling in your details and describing your duties, as well as checking the appropriate designations regarding your relationship to the applicant.
- All applicants must complete Section 5 by identifying their attending physician and providing the necessary details such as their name and California medical license number.
- Review all sections of the form carefully to ensure accuracy and completeness before finalizing your submission.
- Once you have completed the Dhs 9042 Form, save your changes, download the document, print it for your records, or share it as necessary.
Begin filling out the Dhs 9042 Form online today to take the first step towards obtaining your medical marijuana identification card.
Call (415) 558-4700 with any questions....How to renew your Medi-Cal coverage Wait for us to contact you about renewing your coverage. ... Update your information. ... If you receive a renewal packet in the mail.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.