Form HCS105 Home Care Aide Registry Request for Name / Address Change - California

Form HCS105 Home Care Aide Registry Request for Name / Address Change - California

What Is Form HCS105?

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 HCS105?A: Form HCS105 is a form used to request a name or address change on the Home Care Aide Registry in California.

Q: Who can use Form HCS105?A: Form HCS105 can be used by home care aides in California who need to update their name or address on the Home Care Aide Registry.

Q: What information is required on Form HCS105?A: Form HCS105 requires the home care aide's current name or address, as well as the updated name or address.

Q: Is there a fee for submitting Form HCS105?A: No, there is no fee for submitting Form HCS105 to request a name or address change on the Home Care Aide Registry.

Q: How long does it take to process Form HCS105?A: The processing time for Form HCS105 may vary, but it typically takes a few weeks to update the Home Care Aide Registry.

Q: What should I do if I have additional questions about Form HCS105?A: If you have additional questions about Form HCS105, you can contact the California Department of Social Services for assistance.

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Form Details:

  • Released on March 1, 2019;
  • 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 HCS105 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the California Department of Social Services.

Download Form HCS105 Home Care Aide Registry Request for Name / Address Change - California

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