Form MC175-6 Sneede V. Kizer Allocation From an Ssi or Ihss Person - California

Form MC175-6 Sneede V. Kizer Allocation From an Ssi or Ihss Person - California

What Is Form MC175-6?

This is a legal form that was released by the California Department of Health Care 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 MC175-6?A: Form MC175-6 is a California form used for allocating funds from an SSI or IHSS person.

Q: What is SSI?A: SSI stands for Supplemental Security Income, which is a federal program that provides financial assistance to low-income individuals who are aged, blind, or disabled.

Q: What is IHSS?A: IHSS stands for In-Home Supportive Services, which is a California program that provides assistance with daily activities for eligible low-income individuals who are aged, blind, or disabled.

Q: What is the purpose of form MC175-6?A: The purpose of form MC175-6 is to allocate funds from an SSI or IHSS person to cover the costs of their care or support services.

Q: Who should use form MC175-6?A: Form MC175-6 should be used by SSI or IHSS persons in California who want to allocate their funds to pay for their care or support services.

Q: Are there any fees associated with form MC175-6?A: No, there are no fees associated with form MC175-6.

Q: How often should form MC175-6 be completed?A: Form MC175-6 should be completed whenever there is a change in the allocation of funds or a change in care or support services.

Q: Are there any eligibility requirements for using form MC175-6?A: Yes, to use form MC175-6, you must be an SSI or IHSS person in California.

Q: What information is required on form MC175-6?A: Form MC175-6 requires information such as your name, address, social security number, and details about the allocation of funds.

ADVERTISEMENT

Form Details:

  • Released on May 1, 2007;
  • The latest edition provided by the California Department of Health Care 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 MC175-6 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form MC175-6 Sneede V. Kizer Allocation From an Ssi or Ihss Person - California

4.5 of 5 (17 votes)
  • Form MC175-6 Sneede V. Kizer Allocation From an Ssi or Ihss Person - California, Page 1
ADVERTISEMENT