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.
Q: What is SOC 865?
A: SOC 865 is the In-Home Supportive Services (IHSS) Request for Applicant Provider Reference form.
Q: What is IHSS?
A: IHSS is a California program that provides assistance to eligible elderly, blind, and disabled individuals who need help with daily activities.
Q: Who is the form for?
A: The form is for individuals applying to become a provider of IHSS services.
Q: What information is required in the form?
A: The form requires information about the applicant's qualifications, experience, and references.
Form Details:
Download a fillable version of Form SOC865 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.