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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 SOC864
for the current year.
Form SOC864 In-home Supportive Services (Ihss) Program Individualized Back-Up Plan and Risk Assessment - California
What Is Form SOC864?
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 SOC864?
A: Form SOC864 is a document for the In-home Supportive Services (IHSS) Program Individualized Back-Up Plan and Risk Assessment in California.
Q: What is the In-home Supportive Services (IHSS) Program?
A: The In-home Supportive Services (IHSS) Program is a program in California that provides assistance to eligible individuals who are aged, blind, or disabled.
Q: What is an Individualized Back-Up Plan?
A: An Individualized Back-Up Plan is a personalized plan that outlines the steps and arrangements put in place to ensure that a person's needs are met in case their regular caregiver is unable to assist them.
Q: What is a Risk Assessment?
A: A Risk Assessment is an evaluation process that identifies potential risks or hazards that may affect an individual's health, safety, or well-being.
Q: Who needs to complete Form SOC864?
A: Form SOC864 needs to be completed by IHSS recipients and their caregivers in California.
Q: What information is required on Form SOC864?
A: Form SOC864 requires information such as the recipient's name, contact information, backup care options, emergency contacts, and specific needs or challenges that may arise.
Q: Is there a deadline for submitting Form SOC864?
A: There may be specific deadlines for submitting Form SOC864, which can vary depending on the county. It is important to check with the IHSS county office for the deadline.
Q: Can someone help me fill out Form SOC864?
A: Yes, if needed, someone can assist you in filling out Form SOC864, such as a caregiver or a social worker.
Q: What should I do with Form SOC864 once it is completed?
A: Once Form SOC864 is completed, it should be submitted to the IHSS county office or as instructed by the county.
Form Details:
- Released on March 1, 2011;
- 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 SOC864 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.
Download Form SOC864 In-home Supportive Services (Ihss) Program Individualized Back-Up Plan and Risk Assessment - California
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