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Recipient Forms

Resources

SOC 295

Application for In-Home Supportive Services

English     Spanish

SOC 839

Designation of Authorized Representative
English     Spanish

SOC 332

Recipient / Employer Responsibility Checklist

English     Spanish

SOC 426 (a)

Recipient Designation of Provider

English     Spanish

SOC 873

Health Care Certification Form

English     Spanish

SOC 2327

Right to File a Sexual Harassment Complaint

English     Spanish

Recipient Educational Forms

Overview of IHSS Program

English     Spanish

Recipient Educational Forms

IHSS Authorized Tasks

English     Spanish

Recipient Educational Forms

Paramedical Services

English     Spanish

Recipient Educational Forms

Functional Index Rankings and Hourly Task Guidelines

English     Spanish

Recipient Educational Forms

Share of Cost
English     Spanish

Recipient 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

 

Phone Number

530.694.1240

Hours

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

 

Email Address

ihss@csssolutions.org

Physical Address

14831 HWY 89
Markleeville, CA 96120

Mailing Address

P.O. Box 451
Markleeville, CA 96120

Mono County Office

Phone Number

775.392.0055

 

Hours

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

Email Address

ihss@csssolutions.org

Physical Address

1701 County Road, Suite A

Minden, NV 89423

Mailing Address

P.O. Box 346
Coleville, CA 96107

Social Services Offices

 

Alpine County Social Services

530.694.2235

Mono County Social Services

760.924.1770

Inyo County

Health and Human Services

760.872.1727

Inyo County Office 

 

 

Phone Number

760.872.2121

 

Hours

(Mon-Fri 8:00a-4:30p)
Open for walk-ins: 8am-12pm Appointment only: 1pm-4:30pm

Email Address

ihss@csssolutions.org

Physical & Mailing Address

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

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