Form SOC854L In-home Supportive Services Program Notice to Recipient of Provider Eligibility - California

Form SOC854L In-home Supportive Services Program Notice to Recipient of Provider Eligibility - California

What Is Form SOC854L?

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 SOC854L?
A: SOC854L is a form used in California for the In-Home Supportive Services Program.

Q: What is the In-Home Supportive Services Program?
A: The In-Home Supportive Services Program is a program in California that provides assistance to elderly, blind, and disabled individuals who need help with activities of daily living.

Q: What is the purpose of form SOC854L?
A: Form SOC854L is used to notify the recipient of the program about the eligibility of a provider.

Q: Who receives form SOC854L?
A: Form SOC854L is received by the recipient of the In-Home Supportive Services Program.

Q: What information is included in form SOC854L?
A: Form SOC854L includes information about the provider's eligibility, such as their name, Social Security number, and certification date.

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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 SOC854L by clicking the link below or browse more documents and templates provided by the California Department of Social Services.

Download Form SOC854L In-home Supportive Services Program Notice to Recipient of Provider Eligibility - California

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  • Form SOC854L In-home Supportive Services Program Notice to Recipient of Provider Eligibility - California, Page 1
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