Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with San Bernardino County Public Authority (IHSS Public Authority) before sending sensitive documents. FaxFlow is not affiliated with this organization.

Governmenthigh confidence

San Bernardino County Public Authority (IHSS Public Authority) fax number

(909) 927-4177

IHSS Public Authority / Aging and Adult Services - Public Guardian

Used for: Employment Verification requests

Fax destination details

Department
IHSS Public Authority / Aging and Adult Services - Public Guardian
Purpose
Employment Verification requests
Form
PA IHSS 620 (E/S) — Provider Employment Verification Request and Authorization to Release Information
Address
784 E Hospitality Lane, San Bernardino, CA 92415-0034

Before you send

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  • 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.
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Processing time 4-6 business days; requests must include provider information and government-issued ID; can be submitted via fax to the Public Authority or via email; see EV form for full processing instructions.

Official form instructions are published as a downloadable file on the organization's website.

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