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Get Ca Soc 426 2011
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How to fill out the CA SOC 426 online
Filling out the CA SOC 426 form is an important step in the provider enrollment process for the In-Home Supportive Services (IHSS) program in California. This guide will help you navigate the form efficiently, ensuring that all required information is provided accurately.
Follow the steps to complete the CA SOC 426 online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by filling out PART A, which includes your personal information. This section requires you to provide your full name, date of birth, gender, and home address. Ensure that you use black or blue ink if filling out the form on paper.
- Provide your Social Security number and government-issued identification details. Remember, this information is crucial for verifying your identity and eligibility.
- In PART B, answer the questions regarding any criminal convictions within the past ten years. Check 'YES' or 'NO' for each question pertaining to Tier 1 and Tier 2 crimes.
- If you answered 'YES' to having a Tier 2 conviction, indicate whether you obtained a certificate of rehabilitation or expungement.
- Move to PART C, where you will read the provider declaration. Ensure you understand the obligations and agree to the terms by signing and dating the form.
- Finally, review your completed form for any errors or missing information. Once confirmed, save your changes, download a copy for your records, and print it if necessary.
Complete your CA SOC 426 form online today to begin your enrollment as an IHSS provider.
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