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

41 - 56 of 56 contact points

Rancho Park Office

Address:
11110 W. Pico Blvd.
Los Angeles, CA 90064

Phone numbers:
  • (866) 613-3777

Region III San Gabriel Valley

Address:
3216 Rosemead Blvd.
El Monte, CA 91731

Phone numbers:
  • (877) 292-4246

Region IV Central County

Address:
3833 S. Vermont Ave.
Los Angeles, CA 90037

Phone numbers:
  • (877) 292-4246

Region I West County

Address:
5200 W. Century Blvd.
Los Angeles, CA 90045

Phone numbers:
  • (877) 292-4246

Region VI Southeast County

Address:
5460 Bandini Blvd.
Bell, CA 90201

Phone numbers:
  • (877) 292-4246

Region V South County

Address:
2959 E. Victoria St.
Rancho Dominguez, CA 90221

Phone numbers:
  • (877) 292-4246

San Fernando Sub Office

Address:
9188 Glenoaks Blvd.
Sun Valley, CA 91352

Phone numbers:
  • (866) 613-3777

San Gabriel Valley Office

Address:
3352 Aerojet Ave.
El Monte, CA 91731

Phone numbers:
  • (866) 613-3777

Santa Clarita Sub Office

Address:
27233 Camp Plenty Rd.
Canyon Country, CA 91351

Phone numbers:
  • (866) 613-3777

South Central Office

Address:
10728 S. Central Ave.
Los Angeles, CA 90059

Phone numbers:
  • (866) 613-3777

South Family Office

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

Phone numbers:
  • (866) 613-3777

South Special Office

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

Phone numbers:
  • (866) 613-3777

Southwest Special Office

Address:
1819 Charlie Sifford Dr.
Los Angeles, CA 90047

Phone numbers:
  • (866) 613-3777

West Valley Office

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

Phone numbers:
  • (866) 613-3777

Wilshire Special Office

Address:
2415 W. 6th St.
Los Angeles, CA 90057

Phone numbers:
  • (866) 613-3777

Address:
12860 Crossroads Parkway South
City of Industry, CA 91746

Phone numbers:
  • (562) 908-8383
Fax numbers:
  • (562) 908-1536
Emails:

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