“SOC” stands for State of California — these are official forms issued by the California Department of Social Services (CDSS) for the IHSS program. Every form listed here is verified against CDSS.ca.gov. Forms marked with a guide link have a dedicated plain-English guide on this site.
Enrollment
IHSS Program Provider Enrollment
The primary enrollment form — authorizes the criminal background check (Live Scan) and formally registers you as an IHSS provider.
IHSS Program Provider Enrollment Agreement
The agreement you sign at orientation acknowledging the program rules, responsibilities, and terms of employment.
Important Information for Prospective Providers
An informational handout covering the enrollment process, eligibility rules, and what to expect as an IHSS provider.
Applicant Provider Request for General Exception
Request form for applicants whose background check results would otherwise disqualify them from enrollment — used to request an exception based on individual circumstances.
Overtime & Exemptions
IHSS Program Provider Workweek and Travel Time Agreement
Confirms that you understand the workweek overtime rules, the weekly hour cap, and paid travel time rules. Required before travel time can be authorized in some counties.
Notification of Maximum Weekly Hours
A notice from your county showing your calculated weekly maximum hours (monthly authorized ÷ 4). Not filed by the provider — sent by the county.
Live-In Family Care Provider Overtime Exemption (Exemption 1)
Application for Exemption 1 — allows grandfathered live-in family providers serving two or more recipients to work up to 90 hours per week. Not available to new providers.
Extraordinary Circumstances Overtime Exemption (Exemption 2)
Application for Exemption 2 — allows providers caring for two or more recipients with extraordinary needs to work up to 90 hours per week and 360 hours per month. County approval required.
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IHSS and WPCS Live-In Self-Certification (Income Tax Wage Exclusion)
Filed by live-in family providers to certify they live with their recipient and qualify for the IRS Notice 2014-7 wage exclusion — potentially excluding all IHSS income from federal and state taxable income.
IHSS and WPCS Live-In Self-Certification Cancellation
Cancels a previously filed SOC 2298 — used when a live-in provider moves out or no longer qualifies for the wage exclusion.
IHSS Program Provider Sick Leave Request
Paper form used to claim your 40 annual paid sick leave hours when not submitting through ESP. Mail in a separate envelope — not with your regular timesheet. No reason required; only your signature.
Account Changes
Provider/Recipient Change of Address and/or Telephone
Used to update your mailing address or phone number on file with your county IHSS office. Keep this current so your warrants (checks) and W-2 reach you.
Source: CDSS Forms — Alphabetic List (Q–T). Additional forms may exist; verify against CDSS.ca.gov before relying on this list for official program decisions.