INHOME SUPPORTIVE SERVICES INTERCOUNTY TRANSFER Date: TO: County of RE: Name SSN: DOB: The above named IHSS recipient moved to your county during the month of January. The recipient is requesting.

How it works
  • Open form

    Open form follow the instructions

  • Easily sign form

    Easily sign the form with your finger

  • Share form

    Send filled & signed form or save

How to fill out the Ihss Transfer County online

Completing the Ihss Transfer County form online is essential for users requesting the transfer of their In-Home Supportive Services. This guide provides clear, step-by-step instructions to help you smoothly navigate the process.

Follow the steps to complete the Ihss Transfer County form accurately.

  1. Press the ‘Get Form’ button to retrieve the form and open it in your document editor.
  2. In the first section, fill in the date alongside your new county to indicate your move. This should be the current date.
  3. Provide the name of the new county you are transferring to next to 'TO: County of.'
  4. Enter your full name and Social Security Number (SSN) in the respective fields.
  5. Fill in your date of birth (DOB) accurately to ensure your identification is verified.
  6. State your new address including the street or P.O. Box, city, and California zip code. This information is crucial for service allocation.
  7. Include your phone number so that the receiving county can contact you as needed.
  8. Indicate if you are an Income Eligible recipient by checking the appropriate box.
  9. Fill in the name and phone number of your eligibility worker, as well as their EW code to maintain continuity in your support services.
  10. List all documents included with the transfer letter, ensuring you attach forms such as SOC 293 and SOC 295 among others.
  11. The county name responsible for your IHSS services until the discontinuance date must be filled in.
  12. Sign the document and provide the contact information for additional queries.
  13. Finally, the receiving county must sign and return a copy of this document confirming responsibility for your case.

Complete your documents online to ensure a smooth transfer of your In-Home Supportive Services.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Related content

CHAPTER 2 IHSS Case Transfers - HHSA Program...

IHSS eligibility in one county is transferable to another county when an IHSS ... When...

Learn more
California's In-Home Supportive Services Program...

5: Major Potential Program Transfer or Alternative State Cost Options...

Learn more
SB1041 Sb 1041 Bill 20120627 Chaptered...

Jun 27, 2012 — The bill would not authorize an investment or transfer that would...

Learn more
Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Can you transfer IHSS to another county?

IHSS eligibility in one county is transferable to another county when an IHSS applicant/recipient changes his/her county of residence. The purpose of the Inter-County Transfer (ICT) is to prevent any interruption or overlapping of services during the transfer period.

If you moved to a different county, contact the CalFresh office in your new county right away and request an Inter-County Transfer. Your case will follow you to your new county of residence; this process is known as an “inter-county transfer” or ICT. The county can transfer your case and you should not have to reapply.

If your case is going to be transferred, your benefits will continue from your old county until Santa Clara County begins to issue your benefits as long as you have reported your new address to your old county. You will receive a letter in about this case transfer usually within 30 days from your new county.

IHSS eligibility in one county is transferable to another county when an IHSS applicant/recipient changes his/her county of residence. The purpose of the Inter-County Transfer (ICT) is to prevent any interruption or overlapping of services during the transfer period.

No form is needed. Change of address to another county in California: Inform your IHSS social worker of your new address when you plan to move and when you complete the move. Your social worker will then initiate an inter-county transfer.

If you moved to a different county, contact the CalFresh office in your new county right away and request an Inter-County Transfer. Your case will follow you to your new county of residence; this process is known as an “inter-county transfer” or ICT. The county can transfer your case and you should not have to reapply.

If you are currently receiving CalFresh and/or Medi-Cal benefits in your old county you will not need to send any paperwork or come into our office, as long as you have reported your new address to your old county and requested to transfer your case.

Of those who do get approved, it can take anywhere from two weeks to several months to finally receive benefits. This is due to the meticulous amount of paperwork involved, as well as the process of the case worker assessment, background check, and other procedures.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

If you believe that this page should be taken down, please follow our DMCA take down process here.

Get Ihss Transfer County