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This version of the form is not currently in use and is provided for reference only. Download this version of
Form SOC426
for the current year.
Form SOC426 In-home Supportive Services (Ihss) Program Provider Enrollment Form - California
What Is Form SOC426?
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 SOC426?
A: Form SOC426 is the In-home Supportive Services (IHSS) Program Provider Enrollment Form.
Q: What is the IHSS Program?
A: The IHSS Program is a California state program that provides in-home supportive services to eligible individuals who are elderly, blind, or have disabilities.
Q: Who is this form for?
A: This form is for providers who wish to enroll in the IHSS Program and provide in-home support services.
Q: What information is required on the form?
A: The form requires information about the provider's personal details, qualifications, and background checks.
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 SOC426 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.
Download Form SOC426 In-home Supportive Services (Ihss) Program Provider Enrollment Form - California
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