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."
Complete and return the folllowing forms:
The following documents are for your records - DO NOT RETURN THESE FORMS:
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Current Providers:
- If you are an existing or returning provider who has completed the Provider Orientation and it has
been less than one year since you cleared the background check, please submit a signed copy of your
social security card and valid/current government photo identification with the enrollment packet
and mail or drop off your packet to:
- In-Home Supportive Services at 6955 Foothill Blvd., 3rd Floor, Oakland, CA 94605.
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New Providers:
- If you are a new provider (never been enroled as a provider for the In-Home Supportive Services
Program), please return the above documents in person to the In-Home Supportive Services Provider
Orientation Office at:
393 - 13th Street, Oakland, Ca 94607 - Monday through Thursday - between the hours
of 9:30 am - 11:00 am & 1:30 pm - 3:00 pm
- All providers must be fingerprinted and go through a criminal background check by the
California Department of Justice when yoy drop off your documents.
Please Bring:
- Cash, credit card or money order (no checks) in the amount of $52.00 to pay for the cost of
the criminal background check
- Photo ID (Government Issued Drivers License, California ID, Passport
- Original Social Security Card and a copy of your Resident Alien Card or Employment Authorization Card if your Social Security card states "Authorization Needed"
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Application cover letters and packets will be available in other languages soon!
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