Get Ca 116 Hhsa 2017-2026

Completing the CA 116 HHSA form is essential for reporting attendance in school-related activities. This guide will provide you with clear, step-by-step instructions to ensure you fill out the form accurately and efficiently online.

Follow the steps to successfully complete and submit your CA 116 HHSA form online.

1. Press the ‘Get Form’ button to access the CA 116 HHSA document and open it in your preferred editor.
2. Enter your personal information in the designated fields, including your name, case name or number, school name, and the name of your Employment Case Manager (ECM).
3. Specify the month and year for which you are reporting attendance in the section labeled 'Attendance Month/Year'.
4. Provide the ECM's telephone number to facilitate communication regarding your attendance.
5. In Section A, mark any changes that apply to your attendance status, such as stopping school, dropping classes, adding classes, or missing classes. Include explanations for these changes as needed.
6. Move to Section B to log your attendance hours for each activity. For every day of the week, enter the actual number of hours you attended classes, supervised labs, supervised study, and unsupervised study.
7. Calculate the total number of hours attended for the month and enter this in the designated space at the end of Section B.
8. In Section C, certify your information by signing and dating the form. Ensure the details you provided are accurate.
9. Lastly, have your school official or ECM sign and date the form in the 'Participation Verified By' section to validate your information.
10. Once completed, save the changes, download the form, print it if necessary, or share it as required to submit to your ECM.

Take the first step and complete your CA 116 HHSA form online today!