Dss ca gov forms

    • [DOC File]Letterhead template - California

      https://info.5y1.org/dss-ca-gov-forms_1_41c13b.html

      Forms and NOAs List as of Group 3. 526B SOC 426 Program Provider Enrollment Form Not the most current version of the form approved by CDSS Access the CDSS Forms and Publications website and download the correct version of the forms Handbook: Section 1.6.3. Merced’s Forms Tool (Worksite Web #9903) Forms and NOAs List as of Group 3

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    • [DOC File]Department of Health Care Services (DHCS)

      https://info.5y1.org/dss-ca-gov-forms_1_3ee3c9.html

      Annual June 1, 2014 Programmatic Transition Plan Sec. 4, W&I 14182.17(d)(10)(B) Together with the State Department of Social Services, the California Department of Aging, and the Department of Managed Health Care, in consultation with stakeholders, develop a programmatic Transition Plan, and submit that plan to the Legislature within 90 days of ...

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    • [DOCX File]AAICAMA

      https://info.5y1.org/dss-ca-gov-forms_1_1d354c.html

      Send all ICAMA forms directly to the county contact below with a copy to: ICAMA@dss.ca.gov (T: 833-421-8511) (F: 833-421-8505) For Medi-Cal questions contact the California Department of Healthcare Services at: ICAMA@dhcs.ca.gov

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    • [DOC File]REFERRALS FOR ASSISTANCE

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      WITH GUARDIANSHIP/FAMILY ISSUES. Because this list was intended to provide source references throughout California, it is recommended that each Court personalize the …

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    • [DOC File]California Department of Social Services

      https://info.5y1.org/dss-ca-gov-forms_1_43a426.html

      OF RESOURCES AND SERVICES. FOR PERSONS WHO ARE BLIND. OR VISUALLY IMPAIRED. PREPARED BY. California Department of Social Services. OFFICE OF SERVICES TO THE BLIND

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    • [DOCX File]13_19_Encl_1_Fillable

      https://info.5y1.org/dss-ca-gov-forms_1_85b423.html

      KatieA@dhcs.ca.gov, and the California Department of Social Services at: KatieA@dss.ca.gov. Reports are due on April 1st and October 1st of each year. County: Date: Name and Contact Information County Child Welfare Department Representative. Name: Title:

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    • [DOC File]California Department of Social Services

      https://info.5y1.org/dss-ca-gov-forms_1_bf1e6d.html

      Complete items 1 -10 of the form. Use a separate form for each policy interpretation request. Retain a copy of the CW 2202W for your records and submit via email to calworkscountypirequest@dss.ca.gov. REQUESTOR NAME: 5. COUNTY: PHONE NO: EMAIL: 6. SUBJECT: REGULATION CITE(S): 7. REFERENCES: (ACLs/ACINs, COURT CASES etc.) DATE OF REQUEST: 8.

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    • [DOC File]INDEPENDENT LIVING PROGRAM ANNUAL ... - …

      https://info.5y1.org/dss-ca-gov-forms_1_a20eea.html

      , complete the downloaded report form, and e-mail to the CDSS, Data Systems and Survey Design Bureau (DSSDB) at admsoc405X@dss.ca.gov. This e-mail submission process contains automatic computation of some cells and easy e-mail transmission of completed report forms to DSSDB.

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