Form SOC855BL Ihss Program Notice to Recipient of Provider Ineligibility Tier 2 Crimes (Serious / Violent Felonies; Sex Offender Felonies; Fraud Against Government Agencies) - California

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What Is Form SOC855BL?

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 SOC855BL?
A: SOC855BL is a form used in California to notify recipients of the In-Home Supportive Services (IHSS) program about the provider's ineligibility due to Tier 2 crimes.

Q: What are Tier 2 crimes?
A: Tier 2 crimes include serious/violent felonies, sex offender felonies, and fraud against government agencies.

Q: Who receives the SOC855BL form?
A: Recipients of the IHSS program receive the SOC855BL form.

Q: What is the purpose of the SOC855BL form?
A: The form notifies recipients that their current provider is ineligible to participate in the IHSS program due to Tier 2 crimes.

Q: What should a recipient do upon receiving the SOC855BL form?
A: Recipients should follow the instructions provided in the form, such as selecting a new provider or requesting additional information.

Q: Can a recipient appeal the provider's ineligibility?
A: Yes, recipients have the right to appeal the provider's ineligibility, and the SOC855BL form provides instructions for initiating an appeal process.

Form Details:

Released on October 1, 2018;
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 SOC855BL by clicking the link below or browse more documents and templates provided by the California Department of Social Services.