Form IHSS-E004 In-home Supportive Services (Ihss) Program Notice of Non-receipt of Exemption From Workweek Limits Provider Agreement (Apd 006) - California

Form IHSS-E004 In-home Supportive Services (Ihss) Program Notice of Non-receipt of Exemption From Workweek Limits Provider Agreement (Apd 006) - California

What Is Form IHSS-E004?

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 IHSS-E004?
A: Form IHSS-E004 is a Notice of Non-receipt of Exemption from Workweek Limits Provider Agreement (APD 006) for the In-Home Supportive Services (IHSS) program in California.

Q: What is the IHSS program?
A: The IHSS program is a program in California that provides assistance with domestic and personal care services to eligible individuals who are aged, blind, or disabled.

Q: What is the purpose of Form IHSS-E004?
A: The purpose of Form IHSS-E004 is to notify the provider that their exemption from workweek limits, as stated in the Provider Agreement (APD 006), has not been received.

Q: What are workweek limits in the IHSS program?
A: Workweek limits in the IHSS program refer to the maximum number of hours a provider can work in a week.

Q: What happens if a provider does not receive an exemption from workweek limits?
A: If a provider does not receive an exemption from workweek limits, they are subject to the workweek limits and cannot exceed the maximum number of hours allowed.

Q: Is Form IHSS-E004 specific to California?
A: Yes, Form IHSS-E004 is specific to the IHSS program in California.

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Form Details:

  • Released on April 1, 2017;
  • 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 IHSS-E004 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.

Download Form IHSS-E004 In-home Supportive Services (Ihss) Program Notice of Non-receipt of Exemption From Workweek Limits Provider Agreement (Apd 006) - California

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