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1. dpss.lacounty.gov › en › web-formsWeb Forms - Department of Public Social Services

   dpss.lacounty.gov › en › web-forms

   • Αποθηκευμένο αντίγραφο

   County of Los Angeles DPSS. © 2024 DPSS Site. All rights reserved

   • Spanish

     County of Los Angeles DPSS. © 2024 Sitio de DPSS. Todos los...

   • Recipient Forms

     Recipient Forms. If you need assistance completing any of...

   • Provider Forms

     SOC 2298 IHSS & WPCS Live-In Self-Certification Form for...

   • GENERAL RELIEF FORMS

     INFORMATIONAL. OVERVIEW. DPSS offers Direct Deposit services...

   • CALFRESH FORMS

     • Reading our documents and forms • Filling out our forms •...

   • PA 853 EN

     ANY PERSON WHO SIGNS THIS STATEMENT AND WHO WILFULLY STATES...

2. dpss.lacounty.gov › en › senior-and-disabledRecipient Forms - Department of Public Social Services

   dpss.lacounty.gov › en › senior-and-disabled

   • Αποθηκευμένο αντίγραφο

   Recipient Forms. If you need assistance completing any of these forms, please contact the IHSS Helpline at (888) 822-9622. You have the right to interpreter services provided by the County at no cost to you.

3. www.cdss.ca.gov › inforesources › forms-brochuresForms - Alphabetic List - California Dept. of Social Services

   www.cdss.ca.gov › inforesources › forms-brochures

   Forms - Alphabetic List. **Due to browser constraints please download forms for full functionality. Click on one of the following links to view forms whose form number begins with the corresponding.

4. dpss.lacounty.gov › en › senior-and-disabledProvider Forms - Department of Public Social Services

   dpss.lacounty.gov › en › senior-and-disabled

   • Αποθηκευμένο αντίγραφο

   SOC 2298 IHSS & WPCS Live-In Self-Certification Form for Federal and State Wage Exclusion

5. file.lacounty.gov › SDSInter › dpssGENERAL RELIEF FORMS - Los Angeles County, California

   file.lacounty.gov › SDSInter › dpss

   INFORMATIONAL. OVERVIEW. DPSS offers Direct Deposit services to all CalWORKs, Refugee Cash Assistance, Cash Assistance Program for Immigrants, and General Relief participants. This means you can have your cash aid benefits directly deposited into your bank or credit union account each month.

6. file.lacounty.gov › SDSInter › dpssCALFRESH FORMS - Los Angeles County, California

   file.lacounty.gov › SDSInter › dpss

   • Reading our documents and forms • Filling out our forms • Getting documents we need • Changes to program rules and work requirements • Making appointments • Other reasonable modifications To request a modification, ask any DPSS employee or call the ADA Hotline at: Not every disability is visible ADA-PUB4 (4/18) 844-586-5550

7. file.lacounty.gov › SDSInter › dpssPA 853 EN - Los Angeles County, California

   file.lacounty.gov › SDSInter › dpss

   ANY PERSON WHO SIGNS THIS STATEMENT AND WHO WILFULLY STATES AS TRUE ANY MATERIAL MATTER WHICH HE KNOWS TO BE FALSE IS SUBJECT TO THE PENALTIES PRESCRIBED FOR PERJURY IN THE PENAL CODE BY THE STATE OF CALIFORNIA, SEC. 11054 OF THE W. & I. CODE. WITNESSED AND VERIFIED BY. TITLE. DATE. 76A303 – PA 853 – (Rev. 11/72)