Form SOC865L In-home Supportive Services (Ihss) Request for Applicant Provider Reference - California

Form SOC865L In-home Supportive Services (Ihss) Request for Applicant Provider Reference - California

What Is Form SOC865L?

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 SOC865L?
A: Form SOC865L is the In-home Supportive Services (IHSS) Request for Applicant Provider Reference form.

Q: What is IHSS?
A: IHSS stands for In-home Supportive Services. It is a program in California that provides assistance to eligible individuals with disabilities or impairments.

Q: What is the purpose of Form SOC865L?
A: The purpose of Form SOC865L is to obtain references for an applicant who wants to become a provider under the IHSS program.

Q: Who needs to fill out Form SOC865L?
A: Both the IHSS applicant and three references need to fill out Form SOC865L.

Q: How many references are required for Form SOC865L?
A: Three references are required for Form SOC865L.

Q: What information is needed on Form SOC865L?
A: Form SOC865L requires information about the applicant's name, contact information, relationship to the reference, and their character and abilities.

Q: Is Form SOC865L specific to California?
A: Yes, Form SOC865L is specific to California as it is used for the IHSS program in the state.

Q: Is there a deadline for submitting Form SOC865L?
A: There may be a deadline for submitting Form SOC865L. It is best to check with your local IHSS office for specific timelines.

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Form Details:

  • Released on October 1, 2018;
  • 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 SOC865L by clicking the link below or browse more documents and templates provided by the California Department of Social Services.

Download Form SOC865L In-home Supportive Services (Ihss) Request for Applicant Provider Reference - California

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