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You must complete and submit the following to CDPH: an Initial Application (CDPH 283D) (PDF), upon enrollment in the training program and a copy of the Request for Live Scan Service (BCIA 8016) form (PDF).
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Print and complete the following form: Application for Home Care Aide Registration or Renewal HCS 100 (also available in Spanish) Mail the completed application (HCS 100) and the $35.00 application fee (via check or money order) to the HCSB at: California Department of Social Services Home Care Services Branch 744 P Street, M.S. 9-14-90
How to Apply. An applicant must submit a completed application packet to the Centralized Applications Branch (CAB). The application packet contains the required forms in one location. The provider checklist identifies the required forms and supporting documents needed to apply for licensing and certification.
To become listed on the Home Care Aide Registry, you must complete and mail the attached application (HCS 100) and the Criminal Record Statement (LIC 508) and a check or money order to the address listed on the top of the application form.
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Effective July 1, 2019, all individuals who become Registered Home Care Aides and all Registered Home Care Aides renewing their registration are subject to their names and telephone numbers being released to labor organizations.
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• If you need to change your name, you must submit a Home Care Aide Registry Request for Name/ Address Change (HCS 105) to the address listed above. You can obtain this form at: http://www. cdss.ca.gov/cdssweb/entres/forms/English/HCS105.pdf. • Once you are registered, failure to notify the Home Care Services Bureau of a change of mailing
People also ask
Is the home care aide application fee refundable?
How do I apply for a home care aide?
How do I check the status of a home care aide (HCA)?
How do I become a home care aide in California?
This website provides individuals with the ability to check the status of a Home Care Aide (HCA) who is listed on the Home Care Aide Registry. Before registration approval, an individual must complete a criminal background check process administered by the California Department of Social Services.
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