Soc 839 2025

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The document is an authorization form from the California Department of Social Services that allows a designated person to sign timesheets on behalf of a beneficiary receiving In-Home Supportive Services (IHSS). It includes sections for the beneficiary's information, the authorized person's details, and signatures, indicating that the authority to sign can be revoked at any time by the beneficiary.

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Versions	Form popularity	Fillable & printable
2018	4.7 Satisfied (39 Votes)
2012	5 Satisfied (41 Votes)

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What is SOC 839?

This form allows you, as the IHSS applicant/recipient or their legal representative, to choose an Authorized Representative for the IHSS program. An Authorized Representative is responsible for acting on the behalf of the IHSS recipient for purposes of the IHSS program.

What is the income limit for IHSS?

You May Be Eligible For IHSS If You: Are 65 years of age, disabled or blind. Have a functional impairment and are at risk for out of home care placement.

What qualifies a person for IHSS in California?

Yes. She is allowed to have 2 different jobs. A lot of folks have a regular day job and supplement with IHSS. Family providers also, as of February are eligible to work a second job even with max hours.

What is the maximum income to qualify for IHSS?

NOTICE TO APPLICANT OF HEALTH CARE CERTIFICATION REQUIREMENT The certification must state that you are not able to do some activities of daily living (ADLs) on your own and that without help to do these activities you would be at risk of placement in out-of-home care.

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