Get Acl 12-55e (december 27, 2012) - California Department Of Social ... - Dss Cahwnet

The ACL 12-55E form is an important document for in-home supportive services provided by the California Department of Social Services. This guide provides a step-by-step approach to assist users in completing the form accurately online.

Follow the steps to fill out the ACL 12-55E form effectively.

1. Use the 'Get Form' button to access the ACL 12-55E document, which will open in your preferred editor for filling out.
2. Begin by entering your personal information in the appropriate fields, including your case name, number, and social worker's contact details.
3. Review the section related to the services you can receive. Fill in the total hours and minutes of in-home supportive services assigned to you each month.
4. Complete the domestic and non-medical personal services sections by specifying the authorized amounts of each service you need.
5. If there are any changes to your services or hours, be sure to note these adjustments clearly in the designated area.
6. Once all sections are accurately filled out, review the document for any errors or missing information.
7. Finally, save your changes, and then choose to download, print, or share the completed form as needed.

Complete your ACL 12-55E form online today to ensure you receive the necessary in-home support services.