Skip to Main Content

Loading

Loading

Create a Website Account - Manage notification subscriptions, save form progress and more.   

  • Website Sign In
Homepage
  1. Administration
  2. Behavioral Health
  3. Social Services
  4. Public Health
Search
Children & Families
Transition-Age Youth
Adults
Older Adults
Community
  1. Home
  2. Portal
  3. County Homepage
  4. Government
  5. Health & Human Services
  6. Featured Links
  7. Adults
  8. Social Services
  9. In-Home Supportive Services
  10. IHSS Forms & Documents

IHSS Forms & Documents

  1. IHSS Handbook (PDF)
  2. Address and/or Telephone Change, SOC 840 (PDF)
  3. Authorized Tasks (PDF)
  4. Communicating with Your Provider (PDF)
  5. Communicating with Your Recipient (PDF)
  6. Consumer and Provider Job Agreement (PDF)
  7. Exemptions (PDF)
  8. Filling out a Timesheet (PDF)
  9. Finding, Interviewing, and Hiring a Provider (PDF)
  10. Getting Started with Your New Provider (PDF)
  11. Live-In Provider Self-Certification Information (PDF)
  12. Mandated Reporter (PDF)
  13. Medi-Cal Fraud and Abuse (PDF)
  14. Paramedical Services (PDF)
  15. Provider Orientation Guide (10.5MB PDF)
  16. Services Covered by IHSS (PDF)
  17. Setting and Maintaining Boundaries (PDF)
  18. Share of Cost (PDF)
  19. Suggestions on How to Handle Money (PDF)
  20. Supervising Your Provider (PDF)
  21. Travel Time (PDF)
  22. Violations (PDF)
  23. Wait Time (PDF)
  24. Workweek Scheduling (PDF)
  25. DHHS Crisis Support Services (PDF)
/QuickLinks.aspx

Contact Us

  1. In-Home Supportive Services

    Ph: 1-707-476-2100
    Ph: 1-866-527-8614

    808 E St.
    Eureka, CA 95501

  1. IHSS Public Authority
  2. IHSS Advisory Committee
  3. IHSS Eligibility
  4. IHSS Forms & Documents

Contact Us

  1. Humboldt County
    825 5th Street
    Eureka, CA 95501
    Phone: Staff Directory

Stay Connected

Facebook
Nextdoor
Twitter

Quick Links

  1. Board of Supervisors
  2. Elected & Appointed Officials
  3. Boards & Committees
  4. Budget
  5. Grand Jury
  6. Measure Z
/QuickLinks.aspx

Site Links

  1. Home
  2. Site Map
  3. Accessibility
  4. Website Question/Comment
  5. Customer Satisfaction Survey
/QuickLinks.aspx
  1. Califonias redwood coast
Government Websites by CivicPlus®
Arrow Left Arrow Right
[]
Slideshow Left Arrow Slideshow Right Arrow