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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 SOC873L
for the current year.
Form SOC873L In-home Supportive Services (Ihss) Program Health Care Certification Form - California
What Is Form SOC873L?
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 SOC873L form?
A: The SOC873L form is the In-home Supportive Services (IHSS) Program Health Care Certification Form.
Q: What is the purpose of the SOC873L form?
A: The purpose of the SOC873L form is to certify the health care needs of individuals applying for the IHSS Program.
Q: Who uses the SOC873L form?
A: The SOC873L form is used by individuals applying for the IHSS Program in California.
Q: What information is required on the SOC873L form?
A: The SOC873L form requires information about the applicant's medical conditions, disabilities, and the need for personal care services.
Form Details:
- Released on January 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 SOC873L by clicking the link below or browse more documents and templates provided by the California Department of Social Services.
Download Form SOC873L In-home Supportive Services (Ihss) Program Health Care Certification Form - California
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