Mc13 Form

Citizenship, Alienage and Immigration

Based on the information provided on this form: The above named applicant is a U.S. citizen or national, or an alien, who, if otherwise eligible, ...

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amount of the unsatisfied judgment now due (including ...

mc13.pmd. 1. Plaintiff received ... Do not use this form to garnish income tax refunds from the State of Michigan; see Michigan statute for specific procedures to garnish state income tax.

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STATEMENT OF CITIZENSHIP, ALIENAGE, AND IMMIGRATION STATUS

Based on the information provided on this form: The above named applicant is a U.S. citizen or national, or an alien, who, if otherwise eligible, ...

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Important Information for Persons Requesting Medi-Cal

... I hereby state that I have reviewed the information on this form with a county representative and that I fully understand my Rights and Responsibilities to have my eligibility determined for Medi-Cal and to maintain that eligibility. ...

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Medi-Cal Mail-In Application MC 210

(See instructions) Has anyone listed on this form, transferred, sold, traded or given away any items such as those listed above in the last 30 months?

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Request and Writ for Garnishment (NonPeriodic)

Request and Writ for Garnishment (NonPeriodic) (Form MC 13) Use this form if you have a judgment and you want to collect payment on the judgment from the defendant's checking, savings, or other account.

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MEDI-CAL HEALTH CARE

Step 4: On the MC13, the applicant/beneficiary must complete Section C only if they answered "yes" to questions 2, 3, ... Action: The Eligibility Worker must complete the G-845SAVE form in Section "A" to specify that a PRUCOL response is being requested.

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TO THE PLAINTIFF: You must provide all copies of the ...

TO THE PLAINTIFF: You must provide all copies of the disclosure form (MC 14), two copies of this writ, and a $6.00 disclosure fee for serving on the garnishee.

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IMMIGRATION AND MEDI-CAL ISSUES

After the MC13 form is completed and sent back to the Medi-Cal worker, the Medi-Cal worker should change the applicant's or beneficiary's aid code to allow full-scope Medi-Cal benefits.

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41. Citizenship/Immigration Status

OR "Temporary Form I-551, Admission for Permanent Residence at: _____ (Port) ... Just as an EW would not sign the MC13 for a client, ...

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