Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Los Angeles County Department of Public Social Services (DPSS) – In-Home Supportive Services (IHSS) Chatsworth District Office. Before sending anything sensitive, confirm the number and receiving department directly with Los Angeles County Department of Public Social Services (DPSS) – In-Home Supportive Services (IHSS) Chatsworth District Office, and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.

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Los Angeles County Department of Public Social Services (DPSS) – In-Home Supportive Services (IHSS) Chatsworth District Office fax number

(818) 450-0241

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IHSS – Chatsworth District Office

Used for: Submit IHSS documents via secure fax to the Chatsworth district office (eFax). This number is used for district-office document intake, including enrollment materials and health-care certifications.

Fax destination details

Department
IHSS – Chatsworth District Office
Purpose
Submit IHSS documents via secure fax to the Chatsworth district office (eFax). This number is used for district-office document intake, including enrollment materials and health-care certifications.
Form
SOC 426; SOC 873; SOC 295; SOC 846 — IHSS Provider Enrollment Form (SOC 426); IHSS Health Care Certification Form (SOC 873); IHSS Application for IHSS Services (SOC 295); IHSS Provider Enrollment Agreement (SOC 846)
Address
21615 Plummer St., Chatsworth, CA 91311
Voice phone
1-888-822-9622

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Follow each form's submission instructions. Include required information and signatures; send to the Chatsworth district office via secure fax.

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