Form HCS9184 Home Care Organization Disassociation Request - California

What Is Form HCS9184?

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 HCS9184?A: Form HCS9184 is a Home Care Organization Disassociation Request form used in California.

Q: What is a Home Care Organization?A: A Home Care Organization is an agency or organization that provides in-home care services.

Q: What is a Disassociation Request?A: A Disassociation Request is a formal request to terminate the relationship between a client and a Home Care Organization.

Q: Who can use Form HCS9184?A: Any client of a Home Care Organization in California can use Form HCS9184 to request disassociation.

Q: How can I obtain Form HCS9184?A: Form HCS9184 can be obtained from the California Department of Social Services or the Home Care Organization itself.

Q: What information is required on Form HCS9184?A: Form HCS9184 requires information such as the client's name, address, date of birth, and the name of the Home Care Organization.

Q: What happens after submitting Form HCS9184?A: After submitting Form HCS9184, the Home Care Organization will process the request and terminate the client's affiliation with their services.

Q: Are there any fees for submitting Form HCS9184?A: There are no fees associated with submitting Form HCS9184.

Q: Is there a deadline for submitting Form HCS9184?A: There is no specific deadline for submitting Form HCS9184, but it is recommended to submit it as soon as possible to initiate the disassociation process.