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The document outlines the procedures and requirements for recipients of the In-Home Supportive Services (IHSS) program in California to designate their chosen service providers. It includes instructions for completing the form, agreements regarding provider enrollment, responsibilities of both the recipient and provider, and guidelines for managing authorized service hours. The recipient must acknowledge understanding of these terms by signing the form.

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Where do I send my Soc 426?

WHERE DO I RETURN THE SOC 426? After you have completed and signed the SOC 426, you must return it IN PERSON to the county IHSS office or county Public Authority. You will have to show identification (ID) when you return the SOC 426.

What is a SOC 839 form?

\u2022 This form allows the IHSS applicant/recipient or his/her legal representative to. choose an Authorized Representative for the IHSS program and identifies the functions the Authorized Representative may perform on his/her behalf.

What is a timesheet signatory?

TIME SHEET SIGNATURE AUTHORIZATION This form gives the designated individual the authority to sign timesheets on behalf of the recipient for any provider who is working for the named recipient.

What is a SOC 2298 form?

The SOC 2298 is a voluntary form that allows you to self-certify that you are living with your Recipient, and allows you to exclude your IHSS income from your Federal Income Taxes (FIT) and withholding.

Where do I send my Soc 295?

How do I apply? Call our office at (831) 454-4101 or (831) 763-8800, option 2. Email application (SOC295) to SOC295@santacruzcounty.us. Fax application (SOC 295) to (831) 763-8906. Mail application (SOC 295) to: IHSS Intake. P.O. Box 1320. ... Walk-in to one of our locations: 18 W. Beach Street, Watsonville, CA 95076, or.

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What is a SOC 839 form?

What is soc426?

A felony offense for fraud against a public social services program, as defined in W&IC sections 10980(c)(2)* and (g)(2)*. A complete listing of Tier 2 crimes is available upon request from the County IHSS Office or IHSS Public Authority. *See attached form SOC 426C for the text of these PC and W&IC sections.

What form is SOC 864?

Download Form SOC864 "In-home Supportive Services (Ihss) Program Individualized Back-Up Plan and Risk Assessment" - California. health, welfare and/or safety. IHSS or with other formal or informal services.

Do IHSS providers file taxes in California?

Additionally, all IHSS providers can e-file their California taxes directly to the FTB by using CalFile. NOTE: Providers who are exempt from income taxes may still be eligible for CalEITC, but must file a tax return using their year-to-date wages that can be found on their last paystub of the 2020 tax year.

Where do I send my w4 for IHSS Los Angeles County?

IHSS Application 2707 S. Grand Ave. Los Angeles, CA 90007.

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