Form SOC862 In-home Supportive Services Program Recipient Request for Provider Waiver - California

Form SOC862 In-home Supportive Services Program Recipient Request for Provider Waiver - California

What Is Form SOC862?

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 Form SOC862?
A: Form SOC862 is a request form for recipients of the In-Home Supportive Services (IHSS) Program in California to waive their provider requirement.

Q: What is the In-Home Supportive Services (IHSS) Program?
A: The IHSS Program is a California state program that provides assistance to eligible individuals with disabilities or older adults who need support with daily activities in their own home.

Q: Who can use Form SOC862?
A: Form SOC862 is for recipients of the IHSS Program in California who want to request a waiver to use a provider of their choice, rather than the provider assigned by the program.

Q: What is a provider waiver?
A: A provider waiver allows IHSS recipients to choose their own caregiver or provider, rather than using the provider assigned by the program.

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Form Details:

  • Released on May 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 SOC862 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.

Download Form SOC862 In-home Supportive Services Program Recipient Request for Provider Waiver - California

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