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Social Services

County of San Luis Obispo

Home » Departments » Social Services » Forms & Documents » Adult Services » IHSS Forms

IHSS Forms

  • PUB 521 Adults (ENG)
  • PUB 521 Adults (Sp)
  • PUB 522 Children (ENG)
  • PUB 522 Children (Sp)
  • SOC 295 Application for IHSS Services
  • SOC 295 (Sp) Application for IHSS Services
  • SOC 295 Large Font Application for IHSS Services
  • SOC 295 (Sp) Large Font Application for IHSS Services
  • SOC 426A IHSS Program Recipient Designation of Provider
  • SOC 426A (Sp) IHSS Program Recipient Designation of Provider
  • SOC 839 In-Home Supportive Services (IHSS) Designation of Authorized Representative
  • SOC 839 In-Home Supportive Services (IHSS) Designation of Authorized Representative (Sp)
  • SOC 873 Health Care Certification Form
  • SOC 873 (Sp) Health Care Certification Form
Picture of Devin Drake

Devin Drake

Director

Take me to:

  • Mandated Reporter Training »
  • Apply for IHSS »
  • APS Multidisciplinary Team Meeting »
  • APS Forms »
  • APS Information »
  • APS Resources »
  • IHSS Forms »
  • IHSS Information »
  • IHSS Resources »
  • Electronic Timesheets »
  • Public Authority (IHSS Providers) Forms »
  • Public Authority (IHSS Providers) Information »
  • Public Authority (IHSS Providers) Resources »
  • Public Authority (IHSS Providers) Videos »
  • Provider Enrollment Information »
  • Apply for the Caregiver Registry! »
  • IHSS Provider Benefits »
  • SLO Master Plan »

Contact Social Services

Child Hotline Information:

  • 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)

Adult Hotline Information:

  • If you suspect there is an emergency requiring immediate intervention, call 911
  • To report suspected elder abuse or neglect call the Adult Services Hotline at (805) 781-1790 during regular business hours, or after business hours call (844) 729-8011
  • Mandated Reporter

 

Seal CSL
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1055 Monterey Street, San Luis Obispo, CA 93408

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County Phone Directory: 805-781-5000

(Toll free: 800-834-4636)

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