Get Ca Drs-08200 2020-2026

Filling out the CA DRS-08200 is essential for individuals seeking reimbursement for in-home supportive services related to qualifying crime-related injuries. This guide will help you navigate the online form, ensuring you complete it accurately and efficiently.

Follow the steps to accurately complete the CA DRS-08200 form online.

1. Click the ‘Get Form’ button to obtain the CA DRS-08200 and access it in an online format.
2. Begin by providing the victim's name at the top of the form. Ensure the name is printed clearly.
3. If the claimant is different from the victim, fill in the claimant's name in the specified field.
4. Enter the caregiver's name and their contact information, including phone number and address.
5. Indicate the relationship of the caregiver to the victim in the designated section.
6. Document the assistance period by entering the start and end dates in the provided fields, using the specified date format (MM/DD/YYYY).
7. Use the table provided to record each day of the month and the corresponding hours of service provided by the caregiver.
8. At the end of the month, calculate the total hours worked and enter this value in the appropriate field.
9. Specify the hourly billing rate that applies to the services rendered by the caregiver.
10. Mark whether the services have been paid by selecting 'YES' or 'NO' in the provided section.
11. Complete the declaration statement by reading it carefully and signing in the designated areas for both the caregiver and the victim or claimant.
12. Once all sections are complete, review the form for accuracy before finalizing it. Save changes, download, print, or share the form as necessary.

Get started now and complete your CA DRS-08200 form online to ensure your reimbursement process is smooth.