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Recipient Forms

SOC 321- Request for Order and Consent Paramedical Services

SOC 825 - Protective Supervision 24-Hours-A-Day Coverage Plan

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SOC 839 - In-Home Supportive Services Designation of Authorized Representative

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SOC 2256 - In-Home Supportive Services Program Recipient and Provider Workweek Agreement

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SOC 2274 - In-Home Supportive Services Program Accompaniment to Medical Appointment

SOC 2279 - In-Home Supportive Services Program Live-In Family Care Provider Overtime Exemption

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SOC 2326 - In-Home Supportive Services Recipient’s Responsibility to Stop Sexual Harassment in the Workplace

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PA 2457 - Civil Rights Information Notice

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PUB 13 - Your Rights Under California Welfare Programs

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PUB 13 Your Rights Under California Welfare Programs (Large Print)

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