Mc 330 2026

1. Click ‘Get Form’ to open the mc 330 in the editor.
2. Begin with Section A, entering the mother's name, date of birth, and Medi-Cal ID number. Ensure all details are accurate for proper identification.
3. Proceed to Section B where you will input the newborn's name, date of birth, and gender. If applicable, include additional newborns by filling out their respective fields.
4. In this section, also indicate where the baby was born and whether the mother and baby will live together. This information is crucial for eligibility verification.
5. If someone other than a parent is completing the form, fill out Section C with their details and signature to validate the submission.
6. Once completed, review all entries for accuracy before submitting via mail or fax as instructed on the form.

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