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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 SOC846
for the current year.
Form SOC846 In-home Supportive Services (Ihss) Program Provider Enrollment Agreement - California
What Is Form SOC846?
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 SOC846?
A: Form SOC846 is the In-home Supportive Services (IHSS) Program Provider Enrollment Agreement for California.
Q: What is the IHSS program?
A: The IHSS program is a California program that provides assistance to eligible individuals who need help with daily activities in their own home.
Q: Who is the form for?
A: The form is for providers who want to enroll in the IHSS program and provide services to IHSS recipients.
Q: What is the purpose of the form?
A: The purpose of the form is to collect information about the provider and establish an agreement between the provider and the IHSS program.
Form Details:
- Released on November 1, 2015;
- 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 SOC846 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.
Download Form SOC846 In-home Supportive Services (Ihss) Program Provider Enrollment Agreement - California
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