SOC 2279 In-Home Supportive Services (IHSS) Program Live-In Family Care Provider Overtime Exemption

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Get your SOC 2279 In-Home Supportive Services (IHSS) Program Live-In Family Care Provider Overtime Exemption in 3 easy steps

  • 01 Fill and edit template
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What is SOC Form 2279?

Form SOC 2279 is the form that is used to exempt a family caregiver from overtime compensation. The form must be completed by the employer and employee.

What is the SOC 2279 form used for?

If you need to hire someone who can provide services to keep you healthy and safe, we recommend using the ihss exemption form. In it, you can document the cost and type of services you need. The provider of these services will be the person who will live with you. This document exempts the caregiver from overtime compensation.

How do I complete the SOC 2279 form?

Filling out the form does not take long. Below we have compiled a list of information that must be included in the ihss overtime exemption form:

  1. The name of the service provider.
  2. Recipient's name.
  3. The start date of the residence agreement.
  4. The number of hours of IHSS services the provider will provide each day.
  5. Name of IHSS government agency
  6. Payment rate.
  7. Date and sign.

How do I file SOC 2279?

Once the ihss overtime exemption live-in provider is completed, you must submit it to IHSS within 10 days of the start of the residency agreement.

Who must sign SOC 2279?

The IHSS Residential Provider Overtime Exemption Form must be completed by the IHSS government agency or its designee. It must be signed by both parties.

Fillable online SOC 2279 In-Home Supportive Services (IHSS) Program Live-In Family Care Provider Overtime Exemption
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(4.5 / 5) 33 votes
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