
Get the free In-Home Supportive Services (IHSS) - LA County DPSS - fcs-hes ca uky
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JANUARY 2024NAME County
Extension Office
000 Street Road
City, KY
Zip
(000) 0000000Download this and past issues
of the Adult, Youth, Parent, and
Family Caregiver Health Bulletins:
http://fcshes.ca.uky.edu/
content/healthbulletinsASK
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How to fill out in-home supportive services ihss

How to fill out in-home supportive services ihss
01
To fill out the in-home supportive services (IHSS) form, follow these steps:
02
Obtain the IHSS application form from your local County Department of Social Services or online.
03
Provide your personal information, including your name, address, phone number, and social security number.
04
Declare your need for IHSS by indicating any physical or mental health conditions that limit your ability to perform daily activities.
05
Provide information about your household, including the number of people living with you and their relationship to you.
06
Specify the services you need assistance with, such as personal care, domestic services, or paramedical services.
07
Indicate your preferred language for IHSS communication and any special communication needs you may have.
08
Sign and date the form. Make sure to review the information provided before submitting the application.
09
Submit the completed IHSS application form to your local County Department of Social Services either in person, by mail, or online, as instructed by your county.
Who needs in-home supportive services ihss?
01
In-home supportive services (IHSS) are designed to assist individuals who have disabilities, are blind, or are over the age of 65, and require assistance with daily activities in their own homes.
02
Those who may need IHSS include:
03
- Individuals with physical or mental health conditions that limit their ability to perform daily tasks such as bathing, dressing, cooking, or cleaning
04
- The elderly who need help with household chores or personal care
05
- Individuals with disabilities who require assistance to maintain their independence and live safely at home
06
- People with developmental disabilities who need support in managing their daily activities
07
- Individuals with visual impairments or blindness who need assistance with tasks like reading or cooking
08
- Those with chronic illnesses or medical conditions that require ongoing care and supervision.
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What is in-home supportive services ihss?
In-Home Supportive Services (IHSS) is a program that provides assistance to eligible individuals who are elderly, blind, or disabled, allowing them to remain safely in their homes. Services offered may include personal care, domestic tasks, and protective supervision.
Who is required to file in-home supportive services ihss?
Individuals who wish to receive IHSS benefits must file an application, typically the elderly, blind, or disabled individuals who need assistance with daily activities to maintain their independence.
How to fill out in-home supportive services ihss?
To fill out the IHSS application, an individual can obtain the forms from their local county IHSS office or website. They need to provide personal information, details about their disability or condition, and the type of assistance required. The application must then be submitted along with any required documentation.
What is the purpose of in-home supportive services ihss?
The purpose of IHSS is to enable individuals with disabilities or the elderly to live independently in their homes rather than in institutional settings by providing the necessary personal and household assistance.
What information must be reported on in-home supportive services ihss?
Applicants must report personal details including their name, address, age, disability status, income, and any other information related to the services they are requesting. It's also important to include details about the type of care required.
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