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This version of the form is not currently in use and is provided for reference only. Download this version of
Form SOC855
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Form SOC855 In-home Supportive Services Program Notice to Recipient of Provider Ineligibility Incomplete Provider Process - California
What Is Form SOC855?
This is a legal form that was released by the California Department of Social Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form SOC855?A: Form SOC855 is a notice that is given to recipients of the In-home Supportive Services (IHSS) program in California regarding provider ineligibility or an incomplete provider process.
Q: What is the In-home Supportive Services (IHSS) program?A: The IHSS program is a state program in California that provides assistance to eligible individuals who are aged, blind, or have a disability, so that they can remain safely in their own homes and avoid institutionalization.
Q: Who receives Form SOC855?A: Recipients of the In-home Supportive Services (IHSS) program in California receive Form SOC855.
Q: What does Form SOC855 notify recipients about?A: Form SOC855 notifies recipients of the IHSS program about provider ineligibility or an incomplete provider process.
Q: What should recipients do if they receive Form SOC855?A: Recipients should carefully review the form and take appropriate action as instructed, such as providing additional information or contacting the IHSS program for further clarification.
Form Details:
- Released on May 1, 2016;
- The latest edition provided by the California Department of Social Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form SOC855 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.
