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Frequently Used Forms

SOC 829

Waiver Personal Care Services - Provider Direct Deposit Enrollment/Change/Cancellation Form

English     Spanish
 

SOC 2302

Provider Sick Leave Request Form

English     Spanish
 

SOC 840

Provider Change of Address Form 

English     Spanish
 

SOC 426

(IHSS) Program Provider Enrollment Form 

English     Spanish

SOC 2323

Provider Requirements For Minor Recipients Living With Their Parents

English     Spanish

SOC 847

Important Information for Prospective Providers About IHSS

English     Spanish

SOC 426 (c)

IHSS California Code Sections
English     Spanish

SOC 2255

Provider Workweek & Travel Time Agreement
English     Spanish

SOC 2256

Recipient and Provider Workweek Agreement
English     Spanish

Tier 1 Crimes

Tier 2 Crimes

Provider Educational Forms

Telephone Timesheet System
English     Spanish

Community Service Solutions Logo in all black color.

Community Service Solutions 

IHSS Provider Registry

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Alpine County Office

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Phone Number

530.694.1240

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Hours

(Mon-Fri 9:00a-1:00p)

 

Email Address

ihss@csssolutions.org

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Physical Address

14831 HWY 89
Markleeville, CA 96120

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Mailing Address

P.O. Box 451
Markleeville, CA 96120

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Mono County Office

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Phone Number

775.392.0055

 

Hours

(Mon-Fri 8:30a-4:30p)

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Email Address

ihss@csssolutions.org

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Physical Address

1701 County Road, Suite A

Minden, NV 89423

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Mailing Address

P.O. Box 346
Coleville, CA 96107

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Social Services Offices

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Alpine County Social Services

530.694.2235

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Mono County Social Services

760.924.1770

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Inyo County

Health and Human Services

760.872.1727

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Inyo County Office 

 

 

Phone Number

760.872.2121

 

Hours

(Mon-Fri 8:00a-4:30p)

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Email Address

ihss@csssolutions.org

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Physical & Mailing Address

407 W. Line Street #3
Bishop, California  93514 ​

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