... 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. ...

Request and Writ for Garnishment (NonPeriodic) (FormMC 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.

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.