Click on one of the following links to view forms whose form number begins with the corresponding. Don't know the number of the form you need? See Forms - Listed by Program.

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.

State forms are available on the California Department of Social Services (CDSS) website at: http://www.cdss.ca.gov/inforesources/Forms-Brochures/Forms-Alphabetic-List/Q-T#soc. Translated forms are also available at: http://www.cdss.ca.gov/inforesources/Translated-Forms-and-Publications.

dpss 3731 (10/24) ihss qa compliance agreement A violation is the consequence of not following overtime and travel time limitations, and could cause you to be suspended from the program or terminated as an IHSS provider.

Apply for services or become a caregiver by calling the IHSS Home Line and Public Authority at (888) 960-4477. Click here to visit our Riverside IHSS website for specific IHSS support for clients and providers.

**Due to browser constraints please download forms for full functionality. To find a form, click on the link after the program name to find forms whose form number begins with those letters. …

SOC 840 IHSS Program Provider or Recipient Change of Address and/or Telephone

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES SOC 426A (1/16) PAGE 3 OF 3 2. More than 40 hours for me in a workweek if my maximum weekly hours are

Careers at DPSS; Housing Help; Crisis Support & Additional Resources. 211 / 24-hour Assistance; Mental Health Resources; Suicide Prevention; Domestic Violence Services; Family Resource Centers

This is a Los Angeles County computer system. Unauthorized access or use of this computer system, including attempting unauthorized access and copying, altering, destroying, or damaging its data, programs or equipment may subject violators to criminal and/or civil prosecution, and/or administrative action.