Form DS1897B In-home Respite Cost Statement - California

Form DS1897B In-home Respite Cost Statement - California

What Is Form DS1897B?

This is a legal form that was released by the California Department of Developmental 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 DS1897B?A: Form DS1897B is the In-home Respite Cost Statement for California.

Q: What is In-home Respite?A: In-home respite is a service that provides temporary relief to caregivers of individuals with disabilities, allowing them to take a break from their caregiving responsibilities.

Q: Who should fill out Form DS1897B?A: Form DS1897B should be filled out by the caregiver who has received in-home respite services in California.

Q: What information is required on Form DS1897B?A: Form DS1897B requires the caregiver to provide their name, address, phone number, the name of the individual receiving respite care, the number of hours of respite care received, and the cost of the services.

Q: Why is Form DS1897B important?A: Form DS1897B is important because it allows caregivers to document the cost of in-home respite services, which may be eligible for reimbursement or funding support from the state.

Q: What should I do with Form DS1897B once it's filled out?A: Once filled out, Form DS1897B should be submitted to the local regional center or the appropriate authority designated by the California Department of Developmental Services.

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Form Details:

  • Released on December 1, 1992;
  • The latest edition provided by the California Department of Developmental 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 DS1897B by clicking the link below or browse more documents and templates provided by the California Department of Developmental Services.

Download Form DS1897B In-home Respite Cost Statement - California

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