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  • Recipient Forms - Department of Public Social Services
    If you need assistance completing any of these forms, please contact the IHSS Helpline at (888) 822-9622 You have the right to interpreter services provided by the County at no cost to you
  • In-Home Supportive Services (IHSS) Program
    To apply for IHSS, complete an application and submit it to your county IHSS Office SOC 295 - Application For Social Services You have the right to free and timely oral interpretation, sign language services, and written translations of English-language content
  • In-Home Supportive Services (IHSS)
    The In-Home Supportive Services PA 6253 brochure provides facts on the IHSS program, including important phone numbers and office locations Also available in the following languages:
  • FORM SOC 873 - California Dept. of Social Services
    The IHSS worker has the responsibility for authorizing services and service hours The information provided in this form will be considered as one factor of the need for services, and all relevant documentation will be considered in making the IHSS determination
  • APPLICATION FOR IN-HOME SUPPORTIVE SERVICES
    To accommodate blind or visually-impaired applicants, IHSS information is available in the following alternative formats Please indicate which format you would prefer, if applicable Providing information in this section will not affect your eligibility for services
  • IHSS Forms - Personal Assistance Services Council
    The Personal Assistance Services Council (PASC) is committed to improving the In-Home Supportive Services Program and enhancing the quality of life for all people who receive and provide In-Home Supportive Services
  • IHSS Forms
    CAPI is a 100 percent state-funded program designed to provide monthly cash benefits to aged, blind, and disabled non-citizens who are ineligible for SSI SSP solely due to their immigrant status
  • Applying for IHSS
    Anyone who recognizes that a person is in need of in-home assistance may make a referral to IHSS Once the requirements for the Health Care Certification and Medi-Cal eligibility are met a social worker is assigned to the case to conduct an assessment of need


















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