This form is a generic Bill of Sale for a Four Wheeler (ATV) from an individual rather than from a dealer. No warranty is being made as to its condition.
Atv Form With Medical In Riverside
Category:
State:
Multi-State
County:
Riverside
Control #:
US-00461BG
Format:
Word;
Rich Text
Instant download
Description
Free preview
Form popularity
FAQ
Members can submit information online by logging in or creating an online account at benefitscal. To submit information by phone, members can call DPSS at 1-866-613-3777 Monday – Friday from a.m. – p.m. (excluding holidays).
Identity Copy of driver's license or photo ID. Social Security Number (actual card) A copy of immigration documentation or card.
Simply submit your information, and we'll get back to you about if you qualify for Medi-Cal through Covered California. This is your fastest option if you're interested in signing up for Medi-Cal.
Request Medi-Cal “retroactive coverage” if services were provided. To request retroactive coverage, contact the county social services office within one year of the month in which the covered services were provided to you.
You are 19-64 years old and your family's income is at or below 138% of the Federal Poverty Level (FPL) ($21,597 for an individual; $44,367 for a family of four). You are a child 18 or younger and your family's income is at or below 266% of FPL ($85,519 per year for a family of four).
Medi-Cal renewals can be completed online. Visit .BenefitsCal to renew your Medi-Cal plan. If members of your household have Medi-Cal, they will receive a Medi-Cal renewal form from their local county human services agency.
Easy Application Online through Covered California, at or by calling 1-800-300-1506. Call DPSS at 1-877-410-8827.