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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

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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

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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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