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This document is a certificate of notice from the United States Bankruptcy Court regarding the bankruptcy case of Riviera Holdings Corporation, indicating the notices sent to various entities and
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• This form allows the IHSS applicant/recipient or his/her legal representative to. choose an Authorized Representative for the IHSS program and identifies the functions the Authorized Representative may perform on his/her behalf. This form is only for the IHSS program.
Designation of Authorized Representative (SOC 839). An applicant or recipient. may also designate an individual for signing Timesheets or other Provider- Related Documents (TPRD) by completing the IHSS Designation of Signatory for. Timesheets and Other Provider-Related Documents (TPRD) (SOC 839A).
RECIPIENT REQUEST FOR ASSIGNMENT OF AUTHORIZED HOURS TO PROVIDERS.
To officially request additional IHSS hours, you'll need to submit the appropriate forms. These include: SOC 295 (Request for reassessment of IHSS hours) Doctor's verification form to confirm increased care needs.
This health care certification form must be completed and returned to the IHSS worker listed above. The IHSS worker will use the information provided to evaluate the individual's present condition and his/her need for out-of-home care if IHSS services were not provided.
A violation is the consequence of not following overtime and travel time limitations, and could cause you to be suspended from the program or terminated as an IHSS provider. It is important that you follow the overtime and travel time limitations to prevent getting a violation.
Step-by-Step Guide to Requesting More IHSS Hours: Download the SOC 295 Form: Access the SOC 295 form from the official website of the California Department of Social Services or request a copy from your IHSS social worker. Complete the Form: Fill out the form accurately and thoroughly.
RECIPIENT REQUEST FOR ASSIGNMENT OF AUTHORIZED HOURS TO PROVIDERS.

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Doc 838 is a form used for specific regulatory reporting purposes as mandated by the relevant governing body or organization.
Individuals or entities that meet the criteria set by the governing body, such as certain businesses or professionals involved in regulated activities, are required to file Doc 838.
Doc 838 should be filled out by carefully following the instructions provided with the form, ensuring that all required fields are completed and accurate information is provided.
The purpose of Doc 838 is to ensure compliance with regulatory requirements by collecting necessary data for monitoring and oversight by the relevant authority.
Doc 838 requires reporting various information, including identification details of the filing entity, specific transaction data, and any other relevant information as specified by the governing body.
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