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  • Ca Soc 426a (tagalog) 2009

Get Ca Soc 426a (tagalog) 2009-2026

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.

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.

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

SOC 846 IHSS Program Provider Enrollment Agreement.

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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