Public Social Services

Los Angeles County, CA

Official Website: https://dpss.lacounty.gov/en.html

Forms & Documents

Browse all Public Social Services government forms

1 - 20 of 23 forms

Form Title Topics
PA 2457 - Civil Rights Information Notice
PUB 13 - Your Rights Under California Welfare Programs
PUB 13 Your Rights Under California Welfare Programs (Large Print)
SOC 2255 - In-Home Supportive Services (IHSS) Program Provider Workweek & Travel Time Agreement
SOC 2256 - In-Home Supportive Services Program Recipient and Provider Workweek Agreement
SOC 2274 - In-Home Supportive Services Program Accompaniment to Medical Appointment
SOC2279 - In-Home Supportive Services (IHSS) Program Live-In Family Care Provider Overtime Exemption
SOC 2298 - In-Home Supportive Services (IHSS) Program and Waiver Personal Care Personal Services (WPCS) Live-In Self-Certification Form for Federal and State Wage Exclusion
SOC 2299 - Personal Services (WPCS) Live-In Self-Certification Cancellation Form for Federal and State Wage Exclusion
SOC 2326 - In-Home Supportive Services Recipient’s Responsibility to Stop Sexual Harassment in the Workplace
SOC 2327 - In-Home Supportive Services Provider’s Right to File a Sexual Harassment Complaint
SOC 295 - Application For In-Home Supportive Services
SOC 295L - Application For In-Home Supportive Services (Large Print)
SOC 321- Request for Order and Consent Paramedical Services
SOC 426A - In-Home Supportive Services Program Designation of Provider
SOC 426 - In-Home Supportive Services Program Provider Enrollment Form
SOC 825 - Protective Supervision 24-Hours-A-Day Coverage Plan
SOC 838 - In-Home Supportive Services Recipient Request for Assignment of Authorized Hours to Provider
SOC 839 - In-Home Supportive Services Designation of Authorized Representative
SOC 840 - In-Home Supportive Services Program Provider or Recipient Change of Address and/or Telephone Form

Contact Information & Office Locations

21 - 40 of 56 contact points

Glendale Office

Address:
4680 San Fernando Rd.
Glendale, CA 91204

Phone numbers:
  • (866) 613-3777

IHSS Ops I Chatsworth

Address:
21415-21615 Plummer St.
Chatsworth, CA 91311

Phone numbers:
  • (888) 822-9622

IHSS Ops II El Monte

Address:
3400 Aerojet Ave.
El Monte, CA 91731

Phone numbers:
  • (888) 822-9622

IHSS Ops III Metro IHSS

Address:
2707 S. Grand Ave.
Los Angeles, CA 90007

Phone numbers:
  • (888) 822-9622

IHSS Ops II - Pomona

Address:
360 E. Mission Blvd.
Pomona, CA 91766

Phone numbers:
  • (888) 822-9622

IHSS Ops I - Lancaster

Address:
335-C Avenue K-6
Lancaster, CA 93535

Phone numbers:
  • (888) 822-9622

IHSS Ops IV Hawthorne

Address:
12000 S. Hawthorne Blvd.
Hawthorne, CA 90250

Phone numbers:
  • (888) 822-9622

IHSS Ops V - Burbank

Address:
3307 N. Glenoaks Blvd.
Burbank, CA 91504

Phone numbers:
  • (888) 822-9622

IHSS Ops V - Rancho Dominguez

Address:
17600 D Santa Fe Ave. East
Rancho Dominguez, CA 90221

Phone numbers:
  • (888) 822-9622

Lancaster General Relief Sub Office

Address:
337 E. Ave. K-10
Lancaster, CA 93535

Phone numbers:
  • (866) 613-3777

Lancaster Office

Address:
349-B E. Ave. K-6
Lancaster, CA 93535

Phone numbers:
  • (866) 613-3777

Lincoln Heights Sub Office

Address:
4077 N. Mission Rd.
Los Angeles, CA 90032

Phone numbers:
  • (866) 613-3777

Metro East Office

Address:
2855 E. Olympic Blvd.
Los Angeles, CA 90023

Phone numbers:
  • (866) 613-3777

Metro Family Office

Address:
2615 S. Grand Ave.
Los Angeles, CA 90007

Phone numbers:
  • (866) 613-3777

Metro North Office

Address:
2601 Wilshire Blvd.
Los Angeles, CA 90057

Phone numbers:
  • (866) 613-3777

Metro North Office

Address:
2601 Wilshire Blvd.
Los Angeles, CA 90057

Phone numbers:
  • (877) 292-4246

Metro Special Office

Address:
2707 S. Grand Ave.
Los Angeles, CA 90007

Phone numbers:
  • (866) 613-3777

Norwalk Office

Address:
12727 Norwalk Blvd.
Norwalk, CA 90650

Phone numbers:
  • (866) 613-3777

Pasadena Office

Address:
955 N. Lake Ave.
Pasadena, CA 91104

Phone numbers:
  • (866) 613-3777

Pomona Office

Address:
2040 W. Holt Ave.
Pomona, CA 91768

Phone numbers:
  • (866) 613-3777

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