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  • Ca Soc 426a (tagalog) 2009

Get Ca Soc 426a (tagalog) 2009-2025

TAGUBILIN: Gumamit ng bolpen upang punan ang sagot. Isulat nang maliwanag ang impormasyon. Kayo (o ang inyong ligal na awtorisadong kinatawan) ay dapat punan ng sagot ang pormularyong ito upang mapagalaman ng county kung sino ang inyong piniling magkakaloob sa inyo ng mga serbisyo. Kayo (o ang inyong ligal na awtorisadong kinatawan) ay dapat lumagda sa pahayag sa ilalim upang ipakita na inyong nauunawaan at sumasang-ayon sa lahat ng nakalistang mga takda at kondisyon. Kung mayroon kayo.

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How to fill out the CA SOC 426A (Tagalog) online

The CA SOC 426A (Tagalog) form is an important document for selecting a service provider for In-Home Supportive Services (IHSS) in California. This guide provides clear instructions on how to effectively complete this form online.

Follow the steps to fill out the CA SOC 426A (Tagalog) form online.

  1. Click the ‘Get Form’ button to access the form and open it in your preferred editor.
  2. Enter the name of the recipient in the designated field.
  3. Input the County IHSS Case Number in the provided space.
  4. Fill in the name of the service provider.
  5. Provide the service provider's address, including city, state, and ZIP code.
  6. Enter the phone number of the service provider.
  7. Fill out the date of birth for the service provider.
  8. Indicate the gender of the service provider by checking the appropriate box.
  9. If applicable, specify the relationship of the service provider to the recipient.
  10. Read the recipient's statement carefully, and ensure you understand and agree to the terms before signing.
  11. Print your name and date the form in the provided area.
  12. Once all fields are completed, save your changes, and you may download, print, or share the completed form.

Complete your forms online to ensure swift processing of your service provider selection.

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3. WHERE DO I RETURN THE SOC 426? After you have completed and signed the SOC 426, you must return it IN PERSON to the county IHSS office or county Public Authority. You will have to show identification (ID) when you return the SOC 426.

Get a blank copy of the SOC 426 from the County IHSS Office or Public Authority. Read the information carefully before you complete the form. Complete the SOC 426 form and answer all questions completely and truthfully.

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES. IN-HOME SUPPORTIVE SERVICES (IHSS) PROGRAM. PROVIDER ENROLLMENT FORM.

SOC 846 IHSS Program Provider Enrollment Agreement.

There are four IHSS programs: The IHSS Residual (IHSS-R) Program is for people who are not eligible for full-scope Medi-Cal. It provides a maximum of 283 hours of services per month for people with severe disabilities and a maximum of 195 hours for people with disabilities that are not severe.

You (or your authorized representative) must complete PART A of this form to let the county know who you have chosen to provide your authorized services. If you have multiple providers, you must fill out a separate form for each person who will be providing authorized services for you.

WHERE DO I RETURN THE SOC 426? After you have completed and signed the SOC 426, you must return it IN PERSON to the county IHSS office or county Public Authority. You will have to show identification (ID) when you return the SOC 426.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232