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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES NOTICE OF FORM CHANGE NO. 11-141 DATE 11-14-2011 TO: FROM: County Welfare Director Supply Clerk / Forms
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What is soc 876 1011 ihss?
SOC 876 1011 IHSS refers to the Service Order Confirmation for In-Home Supportive Services (IHSS) issued by the State of California.
Who is required to file soc 876 1011 ihss?
The recipients of the IHSS program are not required to file SOC 876 1011 IHSS. It is the responsibility of the IHSS provider to fill out this form.
How to fill out soc 876 1011 ihss?
To fill out SOC 876 1011 IHSS, the IHSS provider must provide accurate information about the services provided, number of hours worked, and any additional details required by the State of California.
What is the purpose of soc 876 1011 ihss?
The purpose of SOC 876 1011 IHSS is to confirm the services provided by the IHSS provider and ensure accurate payment for the services rendered to IHSS recipients.
What information must be reported on soc 876 1011 ihss?
SOC 876 1011 IHSS requires reporting of the IHSS provider's name, contact information, recipient's name, services provided, hours worked, and any additional information requested by the State of California.
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