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What's New
Adult Protective Services
What is Adult Protective Services?
Public Service Announcements
How do I recognize abuse?
Who should report abuse?
What information do I need?
Who do I call?
What happens next?
Resources
Veterans Services
Veteran's Services Office
Contact Us
Transportation Services
Combat Veterans Benefits
SC Vet Center at 41st Ave.
Health Related Topics
Resources
In-Home Supportive Services-County of Santa Cruz
What is IHSS?
Am I eligible?
How do I apply?
What information do I need?
Health Care Certification
Find a Care Provider
Recipient FAQ
Forms
Resources
What is IHSS Public Authority?
Enroll as a Provider
In-Person Orientation
Required Documentation
Background Check
Frequently Asked Questions
Provider Registry
Registry Applications
Training Resources
IHSS Payroll Forms
Payroll FAQ
Timesheet FAQ
Workers Compensation
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IHSS Payroll Forms
CDSS IHSS Program Online Forms
SOC 829 Provider Direct Deposit Enrollment/Change/Cancellation Form
(
PDF
, 45 KB)
SOC 829 Provider Direct Deposit Enrollment/Change/Cancellation Form in Spanish
(
PDF
, 32 KB)
SOC 831 Direct Deposit Fact Sheet
(
PDF
, 64 KB)
SOC 831 Direct Deposit Fact Sheet in Spanish
(
PDF
, 158 KB)
SOC 840 Provider or Recipient Change of Address and/or Telephone
(
PDF
, 94 KB)
SOC 840 Provider or Recipient Change of Address and/or Telephone in Spanish
(
PDF
, 28 KB)
Mail to:
IHSS Fiscal, P.O. Box 1320, Santa Cruz, CA 95060.
For counties other than Santa Cruz, please go to
http://www.cdss.ca.gov/inforesources/County-IHSS-Offices
to contact your county.
SOC 846 Provider Enrollment Agreement
(
PDF
, 51 KB)
SOC 846 Provider Enrollment Agreement in Spanish
(
PDF
, 46 KB)
SOC 2255 Provider Workweek and Travel Time Agreement
(
PDF
, 83 KB)
SOC 2255 Provider Workweek and Travel Time Agreement in Spanish
(
PDF
, 79 KB)
SOC 2256 Recipient and Provider Workweek Agreement
(
PDF
, 44 KB)
SOC 2256 Recipient and Provider Workweek Agreement in Spanish
(
PDF
, 35 KB)
TEMP 3000 Overtime and Workweek Requirements Recipient Declaration
(
PDF
, 39 KB)