Los Angeles County Department of Public Social Services (DPSS) fax number

Fax destination details

Department

Department of Public Social Services (DPSS), Los Angeles County

Purpose

Submitting DPSS forms to the DPSS fax line; e.g., ABP 1676-1 Physical Health Assessment and ABP 23A 10-Day Employability Status Change Notice are commonly faxed to (562) 309-8449.

Form

ABP 1676-1; ABP 23A — Physical Health Assessment for General Relief; 10-Day Employability Status Change Notice

Address

12440 E. Imperial Hwy., Norwalk, CA 90650

Voice phone

(866) 613-3777

Website

Visit organization website

Before you send

• Confirm that this exact department handles your document or request.
• Check the organization website or call its main line for the current fax number.
• Include a cover sheet and any case, member, claim, or form reference required.
• Keep the delivery confirmation with your submission records.

For ABP 1676-1: Medical provider completes the form and faxes it to DPSS; DPSS may also accept electronic submission. For ABP 23A: The same DPSS fax pipeline is used for submitting the Physical Health Assessment and other supporting documents.