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How to use or fill out soc 2248 with our platform
- Click ‘Get Form’ to open the soc 2248 in the editor.
- Begin by entering the provider relationship to the recipient, followed by the county where services are provided.
- Fill in the IHSS recipient's name, Social Security Number (SSN), date of birth (DOB), and address. Repeat this for the IHSS provider.
- Indicate whether the complaint is against the recipient, provider, or both by checking the appropriate boxes.
- In section A, provide your details as the reporting party including your name, email, phone number, and relationship to the IHSS participant.
- For section B, check all applicable reasons for your complaint and provide any necessary details such as dates or names of facilities.
- Use section C to narrate any observations related to your complaint. Be specific about actions observed and dates.
- Complete sections D through G as required for case file information and determinations. Ensure all necessary enclosures are attached before submission.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2013 | 4 Satisfied (49 Votes) |
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