WebApply for services or become a caregiver by calling the IHSS Home Line and Public Authority at (888) 960-4477. You can also view the Riverside IHSS site by clicking here. WebIHSS Portal > Application for Social Services ( * Indicates Required Fields ) SOC 295 Are you applying to receive caregiver services for yourself? Yes No Section 1 - Applicant …
In-Home Supportive Services (IHSS) - Los Angeles County, …
WebThe IHSS Program is a federal, state and locally funded program designed to help pay for services provided to you so that you can remain safely in your own home. To be eligible, … WebThe online IHSS Referral Form is a quick and easy way to submit referrals. Our tool is simple and secure. Just click the button down below to begin filling out your this form document. Editing may be accomplished on any modern device. Get Form Now Download PDF Ihss Referral Form PDF Details hush puppies timepiece
APPLICATION FOR IN-HOME SUPPORTIVE SERVICES
Web15 apr. 2024 · Must submit a completed Health Certification form; How does it work? To apply for IHSS in Contra Costa County, contact an IHSS office of the Employment & … WebOnline IHSS Application Form If you suspect there is an emergency requiring immediate intervention, call 911 To report suspected child abuse or neglect call the 24 hour Child Abuse Hotline at (805) 781-KIDS (5437) or toll free 1-800-834-KIDS (5437) If you suspect there is an emergency requiring immediate intervention, call 911 WebContact IHSS at (408) 792-1600 or fill out the application and submit using one of the options below. Mail In-Home Supportive Services PO Box 11018 San Jose, CA 95103-1018 Email [email protected] In Person 353 W. Julian Street, San Jose Fax (408) 792-1601 2. Health Certification Form hush puppies toddler shoes