Loading
Get Ca Hcs 100 2017-2025
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 HCS 100 online
Completing the CA HCS 100 application for Home Care Aide registration can seem daunting. This guide provides clear, step-by-step instructions to help you navigate the process with ease.
Follow the steps to successfully complete your application.
- Press the ‘Get Form’ button to obtain the form and open it in the online editor.
- Enter your full legal name in the 'Name' section. Ensure to use the name as it appears on your ID without any nicknames.
- In the 'List all other names' section, include any previous names you have used, such as maiden names or aliases.
- Complete the 'Residence Address' section by filling in your street address, apartment number (if applicable), city, state, zip code, and county. Make sure to spell city names out completely.
- If your mailing address differs from your residence address, fill out the 'Mailing Address' section accordingly.
- Optionally provide your email address in the 'E-mail' field.
- Enter your date of birth in MM/DD/YY format to verify eligibility (must be 18 years or older).
- Indicate your gender by marking 'M' for male or 'F' for female.
- In the 'Driver's License/Identification Card/Alien Registration' section, print your identification number, one of which must be provided from the acceptable options.
- Provide your daytime and evening telephone numbers for contact purposes.
- Ensure you sign and date the application at the bottom of the form. Applications without a signature or date may be returned.
- Review all entries to confirm they are correct before saving your changes.
- Lastly, download, print, or share the completed form as needed, ensuring you also prepare the necessary fee and Criminal Record Statement for submission.
Begin the application process by filling out the CA HCS 100 online today.
Related links form
HCSB is also responsible for the Home Care Aide application process and maintenance of the Home Care Aide Registry. California law established the Home Care Services Consumer Protection Act which, as of January 2016, requires Home Care Organizations to be licensed and creates a public online registry for Home Care ...
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.