Form SOC862L In-home Supportive Services Program Recipient Request for Provider Waiver - California

Form SOC862L In-home Supportive Services Program Recipient Request for Provider Waiver - California

What Is Form SOC862L?

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 the SOC862L form?
A: The SOC862L form is the In-Home Supportive Services Program Recipient Request for Provider Waiver form.

Q: What is the purpose of the SOC862L form?
A: The SOC862L form is used to request a waiver to allow a provider who has been disqualified from working in the In-Home Supportive Services Program to be hired or retained by an IHSS recipient.

Q: Who uses the SOC862L form?
A: The SOC862L form is used by IHSS recipients in California.

Q: What is the In-Home Supportive Services Program?
A: The In-Home Supportive Services Program, or IHSS, is a California program that provides assistance with daily activities for individuals who are elderly, blind, or disabled.

Q: What is a provider waiver?
A: A provider waiver is a request to allow a provider who has been disqualified from working in the IHSS Program to be hired or retained by an IHSS recipient.

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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 SOC862L by clicking the link below or browse more documents and templates provided by the California Department of Social Services.

Download Form SOC862L In-home Supportive Services Program Recipient Request for Provider Waiver - California

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