Get State Of California Ihss Forms Sick Leave

Filling out the State Of California In-Home Supportive Services (IHSS) Forms Sick Leave online is a straightforward process. This guide will walk you through each step to ensure your sick leave request is submitted correctly and efficiently.

Follow the steps to complete your sick leave request form online.

1. Click ‘Get Form’ button to obtain the form and open it in your editor.
2. Begin by entering your Provider Information. Fill in your name, street address, city, state, zip code, and provider number. Ensure all details are accurate and legible.
3. Next, provide Recipient Information. Fill in the recipient's name and case number to ensure proper identification of whom you are assisting during the sick leave period.
4. Indicate the specific dates for which you are requesting paid sick leave. Include the month, day, and year for each absence. Make sure to add the total hours requested for each absence, ensuring that the minimum is one hour.
5. Acknowledge the statement regarding the truthfulness of your information provided. Check the box to reaffirm that you have discussed your sick leave with the recipient.
6. Sign and date the form to validate your request. Use black ink and write clearly to prevent any processing delays.
7. Finally, submit the completed second page of the Provider Sick Leave Request Form to the specified address for processing. Ensure this submission is aligned with your timesheet submission for the pay period.

Start filling out your IHSS Forms Sick Leave online today and ensure your request is processed efficiently.