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Click ‘Get Form’ to open the SOC 825 in the editor.
Begin by entering the name of the IHSS recipient in the designated field. Ensure that you provide accurate information for effective processing.
Next, input the recipient’s telephone number and address. This information is crucial for communication and verification purposes.
Fill in the name and contact details of the primary contact responsible for arranging the 24-hour coverage plan. Specify their relationship to the recipient.
Acknowledge your understanding of the coverage plan by reviewing and confirming each statement provided in the form. This ensures clarity on responsibilities.
List up to three care providers along with their contact numbers. This helps establish a reliable support network for the recipient.
Describe how you will implement the Protective Supervision plan in the provided section, detailing any specific arrangements or resources.
Finally, sign and date where indicated, ensuring that both you and the IHSS social worker complete this step for validation.

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soc 825 protective supervision form

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