Form HCS105 Home Care Aide Registry Request for Name / Address Change - California

Form HCS105 Home Care Aide Registry Request for Name / Address Change - California

What Is Form HCS105?

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 HCS105?
A: Form HCS105 is a form used to request a name or address change on the Home Care Aide Registry in California.

Q: Who can use Form HCS105?
A: Form HCS105 can be used by home care aides in California who need to update their name or address on the Home Care Aide Registry.

Q: What information is required on Form HCS105?
A: Form HCS105 requires the home care aide's current name or address, as well as the updated name or address.

Q: Is there a fee for submitting Form HCS105?
A: No, there is no fee for submitting Form HCS105 to request a name or address change on the Home Care Aide Registry.

Q: How long does it take to process Form HCS105?
A: The processing time for Form HCS105 may vary, but it typically takes a few weeks to update the Home Care Aide Registry.

Q: What should I do if I have additional questions about Form HCS105?
A: If you have additional questions about Form HCS105, you can contact the California Department of Social Services for assistance.

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Form Details:

  • Released on March 1, 2019;
  • 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 HCS105 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.

Download Form HCS105 Home Care Aide Registry Request for Name / Address Change - California

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