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Forms
Supervisors
PCN
Max hours
Acronyms
100
IHSS/Medi-Cal Communication
What is an IHSS 5
100
Central District Supervisor
Who is Nadia Kakar
100
N2EO
Who is Nadia Kakar
100
Domestic
What is 6 hours
100
IHSS
What is In Home Supportive Services
200
Documentation of language
What is a GEN 22
200
Patsy Secrease
Who is the supervisor for East District.
200
N2E2
Who is Adrianna Azevedo
200
Feeding
What is 7 hours per week
200
FLSA
What is Fair Labor Standards Act
300
Able & Available spouse form
What is the IHSS 292A
300
Eligibility Work Supervisor/Medi-cal
Who is Miriam Desanchez
300
Karen Colquitt PCN
What is N2EH
300
Laundry
What is 1 hour per week (in unit) 1.5 hours (not in unit)
300
SOC
What is State of California
400
Vacation Request Form
What is the ADM 24
400
Cecilia Merchan
Who is the Payroll supervisor
400
N2EJ
Who is Sharyn Cortez
400
Dressing
What is 3.5 hours per week
400
CDSS
What is California Department of Social Services
500
IHSS 293 WW
What is the PS Authorization Worksheet
500
Supervisor for West District
Who is Sena Perrier-Morris
500
N2EA
Who is Eve Quezon
500
Nail Care
What is .10/week
500
CIMIPS II
What is Case Management, Information and Payrolling System