235709
This Form is used for calculating individual costs associated with residency in California for rate development purposes.
This document is used for verifying parental receipt of behavioral services in California for Russian-speaking individuals.
Este formulario se utiliza para realizar una revisión anual estándar de las exenciones para servicios basados en el hogar y la comunidad en California.
This form is used for Medicaid waiver participants in California to express their choice of services and living arrangement.
This form is used for submitting comments and complaints from citizens in California.
This Form is used for determining eligibility for Medicaid waivers in California.
This form is used for obtaining authorization to release information, photographs, or recordings for communication or media-related purposes in California.
This form is used for citizens in California to submit comments and complaints to the relevant authorities.
This form is used for submitting a Vocational Services Exit Report in the state of California. It is used to document the completion of vocational services provided to an individual.
This document is used for referring individuals to vocational services in California.
This form is used for requesting a rate adjustment due to a change in occupancy in California.
This form is used for requesting a rate adjustment due to a staffing change in the state of California.
This form is used for requesting new SEP (Special Enrollment Program) groups in California. It is used to facilitate enrollment in health insurance plans.
This form is used for requesting approval for changes to a SEP Group in California.
This form is used for submitting the cost statement for in-home respite care services in California.
This document is used for requesting a Services Salesperson license in California. It is in Spanish.
This Form is used for declaring information of the applicant/seller in California.
This form is used for reporting the cost of community-based day programs in California. It helps in understanding the expenses incurred by the program and ensuring transparency in cost management.
This type of document is a DS1808 Mediation Conference Request Form in Spanish.
This Form is used for notifying the resolution in California. It is written in Spanish.
This form is used for applying to the Health Facility Program Plan in California.
This form is used for requesting a fair hearing in the state of California. It allows individuals to seek resolution and address concerns related to various state programs and benefits.
This Form is used for filing a complaint regarding early start services in the state of California. It is specifically designed for initiating an investigation into any issues or concerns related to early intervention services for children with developmental disabilities.
This form is used for requesting a license transfer ("sign off") in California. It provides instructions on how to complete the process correctly.
This document is a complaint form for the Early Start Program in California. It is used to request an investigation regarding any issues or concerns related to the program.
This Form is used for Home Leave Credits (HLC) under the California Parent Fee Program for Spanish speakers.
This form is used for preparing a family financial statement in the state of California. It includes information about income, expenses, assets, and debts to determine the financial status of a family.
This form is used for requesting a Due Process Conference in California.
This form is used for the Parental Fee Program Home Leave Credits (HLC) in California. It allows parents to apply for home leave credits under this program.
This form is used for requesting to inspect public records in California.
This form is used for requesting an Ops Investigative Report in the state of California.
This form is used for releasing applicant information in the state of California.
This form is used for applying to join the Consumer Advisory Committee in California.