Get Rfthi

Filling out the Request for Tax Household Information (Rfthi) form is essential for maintaining your Medi-Cal coverage. This guide will provide you with clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully complete your Rfthi online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by answering all questions on the form using ink. Print your answers clearly, and if you require additional space, attach a separate sheet as necessary.
3. Review the information related to yourself and each member of your household, including tax dependents. Ensure you add any missing information and correct any errors if any information has changed.
4. Sign the form on page 3 to affirm that all information provided is accurate to the best of your knowledge.
5. Return the completed form using the postage paid envelope provided. Be mindful of deadlines to prevent losing your Medi-Cal coverage.
6. Please note that each person in your household needs to fill out an individual Rfthi form. Ensure you collect the necessary information for each member as indicated in the form.
7. Once all fields are filled, you can choose to save any changes made, download the completed form, print it for your records, or share it as needed.

Start completing your Rfthi online today to ensure your continued eligibility for Medi-Cal coverage.