This form is a sample of an agreement between an elderly or disabled client and a Caregiver who operates as an independent contractor and provides personnel to assist Client to live at home and to have as much control over the home environment and life as possible under the circumstances. Caregiver's personnel also assist Client with the activities of daily living, scheduling medication, assistance with mobility, accompanying Client on errands and appointments, and such other services as agreed between Client and Caregiver.
In this agreement, Client waives damages for simple negligence of Caregiver, but not gross negligence or misconduct that is intentional or criminal in nature. Courts generally will not enforce waivers of this type of misconduct since such a waiver would be deemed to be against public policy because it would encourage dangerous and illegal behavior.
Application Caregiver Form With 2 Points In Alameda
Category:
State:
Multi-State
County:
Alameda
Control #:
US-00458BG
Format:
Word;
Rich Text
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SNAP Income Limits—Oct. 1, 2023 through Sept. 30, 2024 Household SizeGross monthly income (130% of poverty)Net monthly income (100% of poverty) 1 $1,580 $1,215 2 $2,137 $1,644 3 $2,694 $2,072 4 $3,250 $2,5001 more row •
To apply by phone, or to request a CalFresh Mail-In application to be mailed to you, please call (510) 272-3663. To apply for CalFresh by mail, you may send mail your CalFreshapplication to P.O. Box 12941, Oakland, CA 94604. You may click here for a printable CalFresh application (CF 285).
If you would like to apply over the phone, call us at (510) 272-3663. If you need an application packet to be mailed to you, call us at (510) 272-3663 or 1-888-999-4772.
For provider enrollment information visit our website at .alamedasocialservices and follow the directions for the Provider Enrollment Process, or call (510) 577-1877.
Medi-Cal is a state-sponsored health insurance program administered to you through the Alliance. Medi-Cal provides comprehensive health care coverage for those who meet income guidelines.
Of those who do get approved, it can take anywhere from two weeks to several months to finally receive benefits. This is due to the meticulous amount of paperwork involved, as well as the process of the case worker assessment, background check, and other procedures.
In-Home Supportive Services (IHSS) Program You must also be a California resident. You must have a Medi-Cal eligibility determination. You must live at home or an abode of your own choosing (acute care hospital, long-term care facilities, and licensed community care facilities are not considered "own home").
Submit a completed and signed Application for In-Home Supportive Services SOC 295 to: IHSSSOC295Apps@acgov.
MY PHONE: Call 510-577-1800 weekdays from AM - 12 Noon or - PM. Once you dial, when prompted, press “1” for English and then “1” for applying for IHSS and “1” a third time to speak with an intake screener. 2. BY MAIL: Request an application to be mailed to client's home.
To be eligible for GA, you must: Be a county resident. Be age 18 or older, or. An emancipated minor, or. A child under age 18 who has no means of support. (There are special rules for children. Be low-income. Be a citizen or have legal immigration status. Follow the county rules.
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Blank Application Forms. The below forms may be dropped at a secure drop box, at one of our offices, during regular business hours, am to pm.This will allow Alameda County to notify staff and caregivers of the transition to the use of the new form and procedure. You can also find and download a free form online. You can ask your family, PCP or someone you trust to help you fill out the form. Certain conditions apply. Here is some information to help you in your child care search. Bring warm shelter, food and care to families out in the cold. Services for older and dependent adults, including abuse prevention, public guardian and authority, in-home care, nutritious meals and more. The Cal State East Bay Pre-Licensure Program is a full-time, day-time program that can be completed in two and one half years (five terms).