Form SOC852A In-home Supportive Services Program Notice to Provider Applicant of Provider Ineligibility Tier 2 Crimes (Serious / Violent Felonies; Sex Offender Felonies; Fraud Against Government Agencies) - California

Form SOC852A In-home Supportive Services Program Notice to Provider Applicant of Provider Ineligibility Tier 2 Crimes (Serious / Violent Felonies; Sex Offender Felonies; Fraud Against Government Agencies) - California

What Is Form SOC852A?

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 SOC852A?
A: SOC852A is a form used in California's In-home Supportive Services Program to notify provider applicants of their ineligibility due to Tier 2 crimes.

Q: What is the purpose of SOC852A?
A: The purpose of SOC852A is to inform provider applicants about their ineligibility for the program due to serious/violent felonies, sex offender felonies, or fraud against government agencies.

Q: What crimes are considered Tier 2 crimes?
A: Tier 2 crimes include serious/violent felonies, sex offender felonies, and fraud against government agencies.

Q: Who receives SOC852A?
A: Provider applicants in the In-home Supportive Services Program receive SOC852A.

Q: What happens if a provider applicant is deemed ineligible?
A: If a provider applicant is deemed ineligible, they will be notified through SOC852A and will not be able to participate in 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 SOC852A by clicking the link below or browse more documents and templates provided by the California Department of Social Services.

Download Form SOC852A In-home Supportive Services Program Notice to Provider Applicant of Provider Ineligibility Tier 2 Crimes (Serious / Violent Felonies; Sex Offender Felonies; Fraud Against Government Agencies) - California

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  • Form SOC852A In-home Supportive Services Program Notice to Provider Applicant of Provider Ineligibility Tier 2 Crimes (Serious/Violent Felonies; Sex Offender Felonies; Fraud Against Government Agencies) - California

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