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Get CA SOC 426 2016-2024

REFULLY BEFORE YOU BEGIN TO COMPLETE THIS FORM Under state law, if you have been convicted of or incarcerated following a conviction for certain exclusionary crimes within the past 10 years, you are not eligible to be enrolled as a provider or to receive payment from the IHSS program for providing supportive services except as specified below. There are two categories of exclusionary crimes. • Tier 1 crimes, as set forth in Welfare and Institutions Code (W&IC) section12305.81, include the foll.

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