IHSS Program Forms

The following are the most commonly used In-Home Supportive Services (IHSS) forms.  Also available are additional IHSS forms, or translated forms.  

 

Quick Links

Get Services IHSS
County IHSS Offices
Medi-Cal Offices
County Public Authority  

IHSS Recipients:
IHSS Training/Information - Resources, Fact Sheets and Educational Videos

IHSS Providers:
How to Become an IHSS Provider
How to Appeal if You are Denied
IHSS Provider Resources

IHSS Timesheet Issues/Questions: 
IHSS Provider Help Line, (866) 376-7066

Suspect Fraud?
IHSS Fraud Hotline: 888-717-8302
Help Stop Medi-Cal Fraud and Abuse
Provider Fraud and Elder Abuse complaint line:
1-(800)-722-0432

Get Services APS
County APS Offices
Get Services CAPI