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IN-HOME SUPPORTIVE SERVICES (IHSS) PROGRAM …

IN-HOME SUPPORTIVE SERVICES (IHSS) PROGRAM …

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES SOC 2298 (12/16) PAGE 2 OF 2 Instructions for filling out the Live-In Self-Certification Form

  Social, Form, Services, Department, California, California department of social services, Certifications, Certification form

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