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In Home Supportive Services California Forms

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In Home Supportive Services California Forms. The ihss recipient is considered the employer of his/her caregiver and is responsible for hiring, supervising and, if necessary, dismissing the provider. Retain your copy of your completed application.

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In home supportive services (ihss) is a federal, state, and locally funded program designed to provide assistance to eligible aged, blind, and disabled individuals who, without this care, would be unable to remain safely in their own homes, and would be at risk of being placed in a care facility. All sections of this form must be completed. The ihss program will help pay for services provided to you so that you can remain safely in your own home.

The ihss program will help pay for services provided to you so that you can remain safely in your own home.

To be eligible, you must be over 65 years of age, or disabled, or blind. Retain your copy of your completed application. We are here to help you with every step of the process from the initial assessment to the appeal process. • this form allows the ihss applicant/recipient or his/her legal representative to