WebPhone Line: Monday through Friday, 8am to 5pm. Office/Lobby Hours: Monday through Friday, 8am to 4pm. West Sacramento. 500 A Jefferson Blvd, Suite 100. West Sacramento, CA 95605. (916) 375-6200 x2955- Intake Line. (530) 661- 2763- Fax. Phone Line: Monday through Friday, 8am to 5pm. WebApplication Process >>Step 1: Complete an Application and Health Certification These forms can be found on the California Department of Social Services (CDSS) website or …
In-Home Supportive Services - Alameda County Social Services
WebRecipient Forms Recipient Forms If you need assistance completing any of these forms, please contact the IHSS Helpline at (888) 822-9622. You have the right to interpreter services provided by the County at no cost to you. SOC 295 - Application For In-Home Supportive Services [Español] [中文] [հայերեն] WebSOC 426 (2/23) - In-Home Supportive Services (IHSS) Program Provider Enrollment Form SOC 426A (2/23) - In-Home Supportive Services (IHSS) Program Recipient Designation Of Provider SOC 426C (10/10) - In-Home Supportive Services (IHSS) Program California Code Sections SOC 431 (5/03) - Personal Care Services Program Contract Agency Enrollment mtv428b-d アウトランダー
Provider Forms - Los Angeles County, California
WebAn In-Home Supportive Services (IHSS) provider is someone who gets paid to provide services to a person who receives in-home supportive services under the IHSS Program. … WebApply For Medi-Cal, CalFresh, CalWorks; Services. Adult ... English Language Forms In Home Supportive Services (IHSS) Supported Individual Provider IHSS Direct Deposit ... IHSS Program Recipient Designation of Provider- SOC 426A; Verification of Eligibility of Employment I-9; Senior Nutrition Meals on Wheels Intake Form; Reporting Abuse … Web3. The IHSS program will not pay for any services provided to me until my application for services is approved and then will only pay for those services that are authorized for me to receive by the IHSS Program. 4. I will be responsible for paying for any services I receive that are not included in my IHSS authorization. 5. mtu 調べ方 スマホ