Loading
Get Ca Soc 426 2012
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the CA SOC 426 online
The California SOC 426 form is essential for individuals wishing to enroll as providers in the In-Home Supportive Services (IHSS) program. This guide provides a clear and concise walkthrough to help users complete the form accurately and efficiently.
Follow the steps to complete the SOC 426 form online
- Click ‘Get Form’ button to access the SOC 426 and begin filling it out.
- In Part A, start with providing your full name, date of birth, and gender. Be sure to include your physical home address as required.
- Continue by inputting your mailing address, if different, and your telephone number. Ensure the phone number is complete with the area code.
- Fill in your Social Security number, and provide your driver's license or government-issued ID along with its expiration date and issuing state.
- In Part B, answer the questions regarding your criminal history by checking the appropriate boxes for Tier 1 and Tier 2 crimes.
- If applicable, provide documentation of any certificate of rehabilitation or expungement related to Tier 2 crimes.
- In Part C, read the provider declaration carefully. Sign and date the form to confirm your understanding and agreement to all statements.
- After completing the form, return it to the designated county office in person, bringing original identification and your Social Security card.
- Once submitted, ensure to inform the county of any changes in your information within ten calendar days.
Complete the CA SOC 426 online to start your enrollment as an IHSS provider today.
Get form
Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
The IHSS stimulus program provides additional financial assistance to caregivers in California, forming part of broader support initiatives. This program aims to help those who provide critical services to people in need. For more information about eligibility, consider ensuring your CA SOC 426 is submitted to access these benefits.
Get This Form Now!
Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.