Form SOC426 In-home Supportive Services (Ihss) Program Provider Enrollment Form - California

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Form SOC426 In-home Supportive Services (Ihss) Program Provider Enrollment Form - California

What Is Form SOC426?

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 SOC426?
A: Form SOC426 is the In-home Supportive Services (IHSS) Program Provider Enrollment Form.

Q: What is the IHSS Program?
A: The IHSS Program is a California state program that provides in-home supportive services to eligible individuals who are elderly, blind, or have disabilities.

Q: Who is this form for?
A: This form is for providers who wish to enroll in the IHSS Program and provide in-home support services.

Q: What information is required on the form?
A: The form requires information about the provider's personal details, qualifications, and background checks.

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Form Details:

  • Released on June 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;

Download a fillable version of Form SOC426 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.

Download Form SOC426 In-home Supportive Services (Ihss) Program Provider Enrollment Form - California

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