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Social Services

County of San Luis Obispo

Home » Departments » Social Services » Forms & Documents » Adult Services » Public Authority (IHSS Providers) Forms

Public Authority (IHSS Providers) Forms

  • IHSS PA 100 Caregiver Registry Application and Instructions (Sp)
  • IHSS PA 100 Caregiver Registry Application and Instructions
  • Provider-2nd-Violation-Self-Certification-Instructional-Review-Materials-SP
  • Provider 2nd Violation Self-Certification Instructional Review Materials
  • SOC 341A Mandated Reporter Acknowledgement
  • SOC 341A (Sp) Mandated Reporter Acknowledgement
  • SOC 426 IHSS Provider Enrollment Form
  • SOC 426 (Sp) IHSS Provider Enrollment Form
  • SOC 846 IHSS Provider Enrollment Agreement
  • SOC 846 (Sp) IHSS Provider Enrollment Agreement
  • SOC 2255 Provider Workweek & Travel Time Agreement
  • SOC 2255 (Sp) Provider Workweek & Travel Time Agreement
  • SOC 2256 IHSS Program Recipient and Provider Workweek Agreement
  • SOC 2256 (Sp) IHSS Program Recipient and Provider Workweek Agreement
  • SOC 2279 Live In Family Care Provider Overtime Exemption
  • SOC 2279 (Sp) Live In Family Care Provider Overtime Exemption
  • SOC 2302 In-Home Supportive Services (IHSS) Program Provider Paid Sick Leave Request Form
Picture of Devin Drake

Devin Drake

Director

Take me to:

  • Mandated Reporter Training »
  • Apply for IHSS »
  • APS Multidisciplinary Team Meeting »
  • APS Forms »
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  • IHSS Forms »
  • IHSS Information »
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  • Public Authority (IHSS Providers) Forms »
  • Public Authority (IHSS Providers) Information »
  • Public Authority (IHSS Providers) Resources »
  • Public Authority (IHSS Providers) Videos »
  • Provider Enrollment Information »
  • Apply for the Caregiver Registry! »
  • IHSS Provider Benefits »
  • SLO Master Plan »

Contact Social Services

Child Hotline Information:

  • If you suspect there is an emergency requiring immediate intervention, call 911
  • To report suspected child abuse or neglect call the 24 hour Child Abuse Hotline at (805) 781-KIDS (5437) or toll free 1-800-834-KIDS (5437)

Adult Hotline Information:

  • If you suspect there is an emergency requiring immediate intervention, call 911
  • To report suspected elder abuse or neglect call the Adult Services Hotline at (805) 781-1790 during regular business hours, or after business hours call (844) 729-8011
  • Mandated Reporter

 

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