In Home Supportive Services :. Application Information

How to apply for IHSS

Using the links in the below table, you may download IHSS application instructions and forms in English, Spanish or Chinese.

Versiones en espanol disponibles mas abajo.

Chinese language version below.

1. Download "IHSS Application Instructions" for details.

2. Download and complete "Form #1, IHSS Application " and "Form #2, Application for Medi-Cal."

Language Application Materials
English	IHSS Application Instructions	Form #1 IHSS Application	Form #2, Application for Medi-Cal
Espanol	IHSS Instrucciones de Solicitud	Forma #1 IHSS Solicitud para Servicios	Forma #2 Solicitud para Medi-Cal
Chinese	IHSS Application Instructions	Form #1 IHSS Application	Form #2 Application for Medi-Cal

Application cover letters and packets will be available in other languages soon!