SOC 838 - In-Home Supportive Services Recipient Request for Assignment of Authorized Hours to Provider

Public Social Services

This government document is issued by Public Social Services for use in Los Angeles County, CA

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File Details: PDF (32.6 KB)
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Source
https://dpss.lacounty.gov/content/dam/dpss/documents/en/ihss/SOC%20838%2010-12%20EN.pdf

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