PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form SOC2286
for the current year.
Form SOC2286 In-home Supportive Services Program State Administrative Review Request Response Letter to Provider Upholding Third Violation (90-day Suspension of Eligibility) for Exceeding Workweek and / or Travel Time Limits - California
What Is Form SOC2286?
This is a legal form that was released by the California Department of Social Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is SOC2286?
A: SOC2286 is a form used for the In-home Supportive Services (IHSS) Program State Administrative Review RequestResponse Letter to Provider.
Q: What is the IHSS Program State Administrative Review?
A: The IHSS Program State Administrative Review is a process where providers can request a review of decisions made regarding their participation in the program.
Q: What does the letter uphold?
A: The letter upholds the third violation, which results in a 90-day suspension of eligibility for exceeding workweek and/or travel time limits.
Q: Which state is this form for?
A: This form is specific to the state of California.
Form Details:
- Released on June 1, 2016;
- The latest edition provided by the California Department of Social Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form SOC2286 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.
