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The document is a form from the California Department of Social Services for the In-Home Supportive Services (IHSS) program, allowing providers or recipients to update their address and telephone information. It includes sections for personal details, new contact information, and requires a signature.

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2012	4.8 Satisfied (103 Votes)

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How to file change of address with secretary of state california?

You can also submit a change of address by submitting a signed written request by mail or fax at (916) 653-7625 that includes: your old and new address, your new telephone numbers, your Safe at Home four-digit Authorization ID number, the effective date of the change, your name, and your signature.

How do I report a change of address to IHSS?

Keep IHSS Updated A new address and/or phone number are required to be reported within 10 days of the change. Updates should be reported by completing and signing the IHSS Change of Address and/or Telephone (SOC 840) form. Please note that the form requests the old information and the new information.

How do I change my IHSS worker?

If the county has an IHSS social worker available, it may assign you a new IHSS social worker. If the county refuses to assigned you a new IHSS social worker, you can contact the California Department of Social Services, Adult Programs at: 916-651-8848.

How do I transfer my IHSS provider to another county?

If I move to another county, how do I transfer my IHSS services? When moving to another county, you will need to contact your social worker to provide information regarding which county you are moving to, the date of your move and your new address and phone number.

How do I report changes to IHSS?

For more information on what changes to report, call your social worker or call (805) 654-3206 (Ventura, Ojai, Camarillo, Oxnard area) or (805) 906-7910 (Thousand Oaks, Simi Valley area).

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How do I check my IHSS provider status online?

You can find it by searching for IHSS Provider Portal or going directly to the California Department of Social Services (CDSS) website. Step 2: Log in using your provider ID and password. If youre a new user, youll need to create an account or follow the instructions to retrieve your login details.

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How to file change of address with secretary of state california?

How do I report a change of address to IHSS?

How do I change my IHSS worker?

How do I transfer my IHSS provider to another county?

How do I report changes to IHSS?

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How do I check my IHSS provider status online?

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