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.

Commonly used Forms

Quick Links

IHSS Recipients:

IHSS Providers:

IHSS Timesheet Issues/Questions: 

IHSS Service Desk for Providers & Recipients: (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: