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Form NA1255 Notice of Action in-Home Supportive Services (Ihss) Termination - California
What Is Form NA1255?
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 NA1255?
A: Form NA1255 is a Notice of Action in-Home Supportive Services (IHSS) Termination form in California.
Q: What does IHSS stand for?
A: IHSS stands for In-Home Supportive Services.
Q: What is In-Home Supportive Services (IHSS)?
A: In-Home Supportive Services (IHSS) is a program in California that provides assistance to eligible aged, blind, and disabled individuals who are unable to perform certain tasks on their own.
Q: What does the NA1255 form do?
A: The NA1255 form is used to notify individuals receiving IHSS benefits of the termination of their services.
Q: Who needs to fill out Form NA1255?
A: Form NA1255 is filled out by the county IHSS worker or social worker who is terminating the IHSS services for an individual.
Q: What information is included in the NA1255 form?
A: The NA1255 form includes the recipient's name, case number, reason for termination, effective date of termination, and information about the appeal process.
Q: What should I do if my IHSS services are being terminated?
A: If your IHSS services are being terminated, you have the right to appeal the decision. The NA1255 form provides information on how tofile an appeal.
Form Details:
- Released on May 1, 2009;
- 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 NA1255 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.
