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)