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Click ‘Get Form’ to open the SOC 295 application in the editor.
Begin with Section 1, Personal Information. Fill in your name, Social Security Number, address, birthdate, and contact details. Ensure accuracy as this information is crucial for eligibility verification.
Proceed to Section 2 for Veteran Information. Indicate if you are a veteran or a spouse/child of a veteran and provide necessary details if applicable.
In Section 3, SSI/SSP Information, specify if you receive benefits and select your living arrangement type.
Complete Section 4 regarding past In-Home Support Services (IHSS) received by providing dates and total monthly hours.
Section 5 requires listing family members in your household. Include names, birthdates, and Social Security Numbers where applicable.
Fill out Section 6 on Ethnic and Language Information. This section is mandatory; choose your ethnic origin and primary language.
In Section 7, indicate any communication accommodations needed for blind or visually impaired applicants.
Affirm the information provided in Section 8 by signing and dating the form in Section 9. Make sure all fields are completed before submission.
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SOC 295 (9/18) - Application for In-Home Supportive Services.
What is the maximum income to qualify for IHSS?
Effective 4/1/25, the monthly income limit for the IHSS program for a single applicant is $1,801. When both spouses are applicants, there is a couple income limit of $2,433 / month.
What is a SOC 2298 form for IHSS?
SOC 2298 allows providers to self-docHub their living arrangements in order to claim the exclusion. SOC 2298 must be completed, signed, and returned to the State at the address provided.
Who can fill out SOC 873?
You must have a physician or other licensed health care professional fill out a Health Care Certification (SOC 873) form and you must return it to the county before care services can be authorized. You will be notified if your application for IHSS has been approved or denied.
How long does it take to get approved for IHSS in California?
The Assessment of Need for Protective Supervision for the In-Home Supportive Services Program form (SOC 821) should be completed by the IHSS recipients doctor or a medical professional with specialty or practice in the areas of memory, orientation, and/or judgment.
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Supervised graduate student research prior to student advancement to candidacy. Course Details Repeats Allowed for Credit: 99. Normal Letter Grade with
SOC 295 (9/18) - Application for In-Home Supportive Services
SOC 295 (9/18). Page 1 of 8. To the Applicant: All sections of this form must be completed. Information provided is subject to verification. NOTE: Retain your
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