Form Soc 2300 - In-Home Supportive Services Program Notice To Applicant Of Application Confirmation Number

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
IN-HOME SUPPORTIVE SERVICES PROGRAM
NOTICE TO APPLICANT OF APPLICATION CONFIRMATION NUMBER
(ADDRESSEE)
COUNTY OF:
Notice Date:
Applicant Name:
Applicant Case Number:
IHSS Office Address:
IHSS Office Telephone Number:
To: In-Home Supportive Services (IHSS) Applicant
This notice is to inform you that we have received your application for In-Home
Supportive Services (IHSS) and that you have been assigned a case number
consisting of seven (7) digits, which will serve as your confirmation number of your
IHSS application request.
Your confirmation number is ______________________.
Please use this number when contacting the county about the status of your
application.
SOC 2300 (2/17)

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