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Orange County Social Services Agency (IHSS Program) fax number

(714) 825-3001

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In-Home Supportive Services (IHSS) Applications

Used for: Fax IHSS applications (SOC 295L) to 714-825-3001; submit the English/Spanish/Chinese/Armenian SOC 295L IHSS application as instructed by SSA OC (documents may also be emailed or mailed per SSA guidelines); office located at 2020 W. Walnut St, Santa Ana, CA 92703.

Fax destination details

Department
In-Home Supportive Services (IHSS) Applications
Purpose
Fax IHSS applications (SOC 295L) to 714-825-3001; submit the English/Spanish/Chinese/Armenian SOC 295L IHSS application as instructed by SSA OC (documents may also be emailed or mailed per SSA guidelines); office located at 2020 W. Walnut St, Santa Ana, CA 92703.
Form
SOC 295L — Application For In-Home Supportive Services (IHSS)
Address
2020 W. Walnut Street, Santa Ana, CA 92703
Voice phone
714-825-3000

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.

Fill out the IHSS application using SOC 295L (multi-language versions available) per the SSA OC 'How Do I Apply' guidance.

Review official form instructions

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