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Get Ca Cdss Soc 838 2012-2025
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How to fill out the CA CDSS SOC 838 online
The CA CDSS SOC 838 form is essential for individuals enrolled in the In-Home Supportive Services program who wish to assign authorized hours to their chosen providers. This guide will lead you through the process of completing the form online with ease and clarity.
Follow the steps to successfully complete your CA CDSS SOC 838 form.
- Click ‘Get Form’ button to access the form and open it in the editing window.
- In the 'Recipient Name' section, enter the full name of the person requesting the hours, including first, middle, and last names.
- In the 'Provider Name' section, input the full name of the person selected to provide care, ensuring all fields for first, middle, and last names are filled out.
- Fill in the 'IHSS Recipient Case Number' found in your records to ensure proper identification in the system.
- Enter the 'Provider Identification Number' to link the provider's credentials with your request.
- Indicate the 'Hours Assigned Per Month,' specifying the exact amount of authorized hours you want to assign to your provider.
- Read and acknowledge the statement regarding the processing of timesheets, then enter the current date.
- Sign the form in the 'Recipient Signature' field. If you have a representative, have them sign under 'Authorized Representative' and provide their details.
- Ensure that the 'Telephone Number' field is filled in for any follow-up contact.
- Have the provider sign the form in the 'Provider Signature' section and also mark the date.
- At this final stage, review all entered information for accuracy, then save your changes, download, print, or share the completed form as needed.
Take the next step in your journey by completing and submitting your CA CDSS SOC 838 form online today!
To work in IHSS, certain disqualifications may apply, such as having a significant criminal record or failing the required background checks. Additionally, individuals who do not adhere to program regulations or fail to complete necessary training may be disqualified. Understanding the guidelines set forth in CA CDSS SOC 838 can help you navigate these requirements smoothly.
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