Council on Aging Public Authority Services
Individual Appointment Information
Read and download the following documents as part of your enrollment as an IHSS independent provider- Read this document, usually distributed at a Group Orientation meeting: (English) (Spanish) (Chinese)
- Review this SOC426 form which you will agree to and sign electronically on the website: (English) (Spanish) (Chinese)
- Review this SOC846 form which you will agree to and sign electronically on the website: (English) (Spanish) (Chinese)
- You will be called by the SEIU2015 union to complete your enrollment process. (English) (Spanish) (Chinese) (Vietnamese) (Russian) (Korean) (Armenian)
Please remember to BRING YOUR SOCIAL SECURITY CARD to the appointment.
We are required to see and copy your current SSN card and can not proceed without it.
We must also see and copy your un-expired Govt Issued Photo ID.
Your final step will be to go to a LiveScan location to have your fingerprints taken
- This is the LiveScan form that must be used: Click Here
- This is a list of some livescan locations, Call ahead to verify they are open: Click Here
- Attention: Do not enter any live scan facility if you have any COVID-19 symptoms (fever, cough, trouble breathing, etc.), are awaiting the results of a COVID-19 test, or have been advised to self-quarantine.
- We can also provide these forms at your individual appointment.
After all the steps are done you will receive a letter confirming your enrollment is completed.
Questions about enrollment: 408-350-3252
Questions about medical benefits available to IHSS providers: FAQ
Provider Tax Forms: Information W4 DE4
