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  • Soc 837 - California Department Of Social Services - State Of - Sccgov

Get Soc 837 - California Department Of Social Services - State Of - Sccgov

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES SUPPLEMENT TO THE RATE QUESTIONNAIRE NAME OF CHILD/YOUTH: AGE OF CHILD/YOUTH (SUPPLEMENT FOR CHILDREN.

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How to fill out the SOC 837 - California Department Of Social Services - State Of - Sccgov online

Filling out the SOC 837 form is important for accurately assessing the needs of children and youth under the care of county child welfare services or adoption workers. This guide provides step-by-step instructions to help users fill out the form efficiently and correctly.

Follow the steps to complete the SOC 837 form with ease.

  1. Click ‘Get Form’ button to obtain the form and open it for editing.
  2. Begin by entering the name of the child or youth in the designated field.
  3. Fill in the age of the child or youth, noting that this supplement is specifically for children three years of age and older.
  4. Enter the date when the form is completed to document when the assessment was conducted.
  5. Indicate the date of the request for the supplement for proper tracking of the process.
  6. Each question numbered from 1 to 10 requires a response. For each item, place a check mark in the box that corresponds to the child's situation—‘YES’, ‘NO’, or ‘DO NOT KNOW’. For example, assess the child’s self-help skills and mobility.
  7. If providing a response where a ‘YES’ indicates the need to skip subsequent questions, ensure that the appropriate section is referenced to avoid redundancy.
  8. In the comments section beneath each question, add any additional relevant information to clarify the child's situation further.
  9. Complete questions 9 through 11 regarding behavioral concerns, following the same response protocol.
  10. Finally, fill in the name, date, phone number, agency name, and fax number of the person completing the form. Ensure signatures from both the individual completing and reviewing the information are included for validation.
  11. Once all sections are accurately filled out, users can save changes, download the completed form, print it, or share it as necessary.

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You (or your authorized representative) must complete PART A of this form to let the county know who you have chosen to provide your authorized services. If you have multiple providers, you must fill out a separate form for each person who will be providing authorized services for you.

You may qualify for IHSS if you live in your own home in Santa Clara County and are blind, live with a disability, or are 65 or older. You must also have a Medi-Cal eligibility determination. If you do not have Medi-Cal, please call 1-877-962-3633 or visit .MybenefitsCalWIN.org for details or to apply.

IHSS Salary in California Annual SalaryMonthly PayTop Earners$40,638$3,38675th Percentile$32,804$2,733Average$29,727$2,47725th Percentile$28,397$2,366

Complete, sign and return the IHSS Program Provider Enrollment Form (SOC 426) directly to the County IHSS Office or IHSS Public Authority. For additional guidance, contact your County IHSS Office or IHSS Public Authority. Do not send the form to CDSS. Complete and sign the IHSS Provider Enrollment Agreement (SOC 846) .

You must have a physician or other licensed health care professional fill out a Health Care Certification (SOC 873) form and you must return it to the county before care services can be authorized. You will be notified if your application for IHSS has been approved or denied.

Toll Free Number (888) 944 – IHSS (4477) Local Number (213) 744 – IHSS (4477) OR....Print and mail to: DPSS In-Home Supportive Services. PO Box 93730. City of Industry, CA 91715-9608.

ing to state regulations, a parent can be an IHSS provider if “The parent has left full-time employment or is prevented from obtaining full-time employment because no other suitable provider is available and the inability of the parent to perform supportive services may result in inappropriate placement or ...

The IHSS Program will help pay for services provided to you so that you can remain safely in your own home. To be eligible, you must be 65 year of age and over, or disabled, or blind. Disabled children are also potentially eligible for IHSS.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232