Get Ca Hcs 101 2017-2026

The CA HCS 101 form is essential for renewing your home care aide registration in California. This guide provides clear, step-by-step instructions to help you fill out the form accurately and effectively.

Follow the steps to complete the CA HCS 101 form online.

1. Press the ‘Get Form’ button to obtain the CA HCS 101 form and open it in your browser for editing.
2. Begin by entering your name in the designated section. Include your last name, first name, and middle initial.
3. Next, provide your personal ID number in the space labeled ‘Per ID#’.
4. Indicate your intention to renew your home care aide registration by checking the appropriate box. If you wish to relinquish your registration, select that option instead.
5. If there are any changes to your address, email, or telephone numbers, update them in the provided sections. Ensure that you fill in all relevant details accurately.
6. For your residence address, fill in your street address, city, state, and zip code. Include your county as well.
7. If your mailing address differs from your residence address, complete the mailing address section with your P.O. Box or street address, city, state, and zip code.
8. Fill in your daytime and evening telephone numbers in the respective fields.
9. If you need to change your name, make sure to reference the additional requirement about submitting the HCS 105 form.
10. Once you have filled out all necessary sections, review the information for accuracy. Then, sign and date the application at the bottom of the form.
11. Finally, save the changes, download the completed form, and print it to mail it to the California Department of Social Services along with your $35.00 fee.

Complete your CA HCS 101 form online today to ensure your home care aide registration remains active.