California Department of Developmental Services Forms

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Documents:

68

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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 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 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 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 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 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 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 an Ops Investigative Report in the state of California.

This form is used for releasing applicant information in the state of California.

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