IN-HOME SUPPORTIVE SERVICES (IHSS) PROGRAM PROVIDER ...
• Fill out, sign and return this form in person to the office or location designated by the county. Bring original federal or state government-issued identification and your original Social Security card when returning this form. • Complete all items in PART A, answer the questions in PART B, and read and sign the declaration in PART C.
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INFORMATION SHEET GENERAL RELIEF
dpss.lacounty.govIf you are eligible for GR, you may be able to get emergency aid while your application is being processed. Emergency Aid can include: o Payments* to prevent eviction or utility shut-off. o Payments* to restore utilities. o Meal and housing vouchers if you are homeless. o Transportation funds for seeking jobs and for verified medical appointments.
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