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Soc 2279-2026
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- Click ‘Get Form’ to open the SOC 2279 in the editor.
- In Part A, review the provider requirements carefully. Ensure you meet all three conditions for the overtime exemption before proceeding.
- Move to Part B and enter your residential address in the designated field. Make sure this is accurate as it will be used for verification.
- Next, fill in your mailing address. This should be where you receive correspondence related to your IHSS services.
- Complete the recipient information chart by entering each recipient's name, case number, and your relationship to them. Indicate whether they live with you by answering Yes or No.
- Finally, read through the declaration statement at the bottom of the form. Sign and date it to confirm that all information provided is true and correct.
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