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Web complete, sign and return the ihss program provider enrollment form (soc 426) directly to the county ihss office or ihss public authority. Provider name (first, middle, last). Web as of october 1, 2021, new providers who submit a provider enrollment agreement form soc 846 as part of the ihss provider enrollment process must present.
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Web these requirements include completing, signing, and returning (in person) the provider enrollment form (soc 426), submitting fingerprints and being cleared of disqualifying. Web complete, sign and return the ihss program provider enrollment form (soc 426) directly to the county ihss office or ihss public authority. Provider number provider enrollment agreement. California department of social.
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Web ihss program provider enrollment form (soc 426), ihss program provider enrollment agreement (soc 846), and; Web all ihss providers must complete all of the following enrollment requirements: Complete and sign the ihss program provider enrollment form (soc 426) and return it in person to the county ihss office or ihss public authority. Provider name.
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Web california department of social services. Web including the ihss program provider enrollment form (soc 426), ihss provider enrollment agreement (soc 846), and ihss provider declaration (daas dec 1). Complete a department of justice. Web ihss program provider enrollment form (soc 426), ihss program provider enrollment agreement (soc 846), and;
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