Get Ca 116 Hhsa 2012

Filling out the CA 116 HHSA online is essential for maintaining your supportive services for transportation and childcare. This comprehensive guide will walk you through each section of the form, ensuring that you understand the requirements and provide the necessary information accurately.

Follow the steps to complete the CA 116 HHSA form online.

1. Click the ‘Get Form’ button to access the CA 116 HHSA form and open it in your preferred editing tool.
2. Begin by entering your case name and case number at the designated fields. This information is crucial to link your attendance verification to your benefits.
3. Fill out your worker's name and telephone number. This allows for direct communication regarding your submission.
4. Indicate the name of your school and the report month/year at the top of the form. Make sure this information is current.
5. Respond to the enrollment question by selecting 'Yes' or 'No.' If you are no longer enrolled, provide the date you stopped attending.
6. For each week, specify the dates and record the number of hours you participated in classes, supervised labs, and supervised study for each day of the week.
7. Complete the total hours for each week and for the month at the end of the activity section. Ensure accuracy in your reporting.
8. Answer whether you dropped or added any classes during the reporting period and record the details of those changes.
9. If you missed any school days, indicate 'Yes' and provide the relevant dates. Document the reasons for absence using the codes provided.
10. Lastly, review the certification statement, sign and date it to affirm that the information provided is accurate.
11. Submit your completed form along with any necessary supporting documents to your Employment Case Manager (ECM) as instructed.

Start completing your CA 116 HHSA online today to ensure you continue receiving your supportive services.