Assistance Dog Special Allowance Program
Who is it for?
The Assistance Dog Special Allowance (ADSA) program provides a monthly payment of $50 to eligible persons who use a guide, signal, or service dog to help them with their disability-related needs. The allowance is to help pay the costs of food, grooming, and health care for the dog.
How to Apply:
If you are a resident of California, receiving Supplemental Security Income (SSI),State Supplementary Payment (SSP), In-Home Support Services (IHSS), or Cash Assistance Program for Immigrants (CAPI) benefits, please complete one of the following applications: ADSA1, ADSA1L (Large Print), ADSA1 (Spanish), or ADSA 1L (Spanish - Large Print).
If you are receiving Social Security Disability Insurance (SSDI) benefits, please complete one of the following applications: ADSA – SSDI Recipients (Form ADSA1B), ADSA1BL (Large Print), ADSA1B (Spanish), or ADSA1BL (Spanish - Large Print) and attach a benefit statement from the Social Security Administration.
If you are currently in the ADSA program receiving ADSA benefits and need to renew your eligibility, please complete one of the following applications: ADSA1A, ADSA1AL (Large Print), ADSA1A (Spanish), or ADSA1AL (Spanish - Large Print).
Print, sign, and mail your application to:
Office of Services to the Blind
744 P Street, MS 9-7-96
Sacramento, CA 95814
Already Getting the Allowance?
If you want to report changes, or have questions you may contact us by phone at (916) 657-2628 or email us at ADSAUser@dss.ca.gov.