Public Authority Services by Sourcewise

Overtime

Overtime Information Video: Click Here also in Chinese,  Spanish  

Overtime Training Classes Available: Click Here

Frequently Asked Questions: Click Here

Maximum Weekly Hours Calculator Page: Click Here

 

Overtime Questions?  IHSS Direct Line:  408-792-1600 choose Option 2 "Providers" then option 3 "Overtime"

In-Home Supportive Services (IHSS) has a direct line for Overtime Questions and for Recipients to request Overtime Exceptions:
Call  408-792-1600.  Select option 2 for "Providers" then option 3 for "Overtime". 

 

Provider Enrollment Agreement SOC846 (pdf)  also by language: Armenian, Chinese, Hmong, Russian,  Spanish, Tagalog,  Vietnamese  
All providers should have signed and returned this form to the county to confirm that you understand the new workweek limits as explained in the notice.
Mail the form to:  Santa Clara Social Services Agency - IHSS,  P.O. Box 11018,  San Jose, CA  95103-1018.

 

Information Mailings about Overtime Pay

The state has mailed information notices about the new overtime regulations to all recipients and providers in the IHSS program.
All providers in the IHSS program must return the new SOC846 form to the county.  Please include your provider number with your signature on the forms and also print your name clearly.   Providers that work for more than one recipient must also return the Workweek Agreement form SOC2255.
All recipients in the IHSS program that employ more than one provider must complete and return the Recipient and Provider Workweek Agreement form SOC2256.

Mail the forms to:  Santa Clara Social Services Agency - IHSS,  P.O. Box 11018,  San Jose, CA  95103-1018.  

View the documents and forms here and print additional copies if you need them: 

Information to Recipients:

Notice to IHSS Recipients   TEMP3002 (pdf)  also by language: Armenian, Chinese, Hmong, Russian,  Spanish,  Vietnamese  

Recipient and Provider Workweek Agreement SOC2256 (pdf)  also by language: Armenian, Chinese, HmongSpanish, Vietnamese
If you, the IHSS consumer, get authorized services from more than one provider, you and each of your providers must complete and sign the same SOC2256 form that will show the schedule of authorized hours each of your providers will work for you each week.  You and each of your providers must sign the same SOC2256 form and return it to the county in the return envelope provided.

Recipient Notification of Maximum Weekly Hours SOC2271A (pdf)  also by language: Armenian, Chinese, Hmong, Spanish, Vietnamese
This notice is sent to all Recipients to confirm your current Monthly Authorized Hours and  to tell you your Maximum Weekly Hours.


Information to Providers:

Notice to IHSS Providers   TEMP3001 (pdf)  also by language: Armenian, Chinese, Hmong, Russian,  Spanish,  Vietnamese  

Provider Enrollment Agreement SOC846 (pdf)  also by language: Armenian, Chinese, Hmong, Russian,  Spanish, Tagalog,  Vietnamese  
Providers must sign and return this form to the county to confirm that you understand the new workweek limits as explained in the notice.

Provider Workweek & Travel Time Agreement SOC2255 (pdf)  also by language: Armenian, Chinese, Hmong, Spanish, Vietnamese
Providers will receive this form if you work for more than one recipient.  If you, the IHSS provider, work for (or plan to work for) more than one IHSS recipient, you must complete the SOC2255 form and return it to the county in the return envelope provided.  No travel claim forms will be sent unless this form is completed.  This form confirms you understand and agree to the new workweek and travel time limits.  It lets the county know the recipients you work for,  how many hours you will work each week for each recipient, and how much travel time you will have (if any) between recipients each week.

Provider Notification of Recipient Authorized Hours, Services, and Maximum Weekly Hours SOC2271 (pdf)  also by language: Armenian, Chinese, HmongSpanish, Vietnamese
This notice is sent to all Providers to confirm the current Monthly Authorized Hours and  to tell you the Maximum Weekly Hours for each Recipient that you work for.  This information is to assist you in preparing a work schedule.  If you get a notification about a Recipient that you no longer work for, contact the IHSS office to tell them you no longer work for that Recipient. 

More questions?  Review the Frequently Asked Questions page:  Click Here.
 


 

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