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Form SOC2258A In-home Supportive Services Program Notice to Recipient of Provider's Third Violation (90-day Suspension of Eligibility) for Exceeding Workweek and / or Travel Time Limits - California
What Is Form SOC2258A?
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 SOC2258A?
A: SOC2258A is a form used in California's In-home Supportive Services Program.
Q: What does SOC2258A notify the recipient of?
A: It notifies the recipient of their provider's third violation and the resulting 90-day suspension of eligibility.
Q: What are the violations that can lead to a suspension?
A: Exceeding workweek and/or travel time limits can lead to a suspension.
Q: Who is eligible for the In-home Supportive Services Program?
A: Residents of California who need assistance with activities of daily living and meet certain eligibility criteria are eligible for the program.
Form Details:
- Released on March 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 SOC2258A by clicking the link below or browse more documents and templates provided by the California Department of Social Services.
