Live-In Self-Certification Form (SOC 2298)

If you are an IHSS Provider who works and lives at the SAME address as your IHSS Recipient, you have the option to self-certify your living arrangements to exclude Federal Income Tax (FIT) and State Income Tax (SIT) from your IHSS wages.

• Learn more about the Live-In Provider Self-Certification information at the CDSS website.

 Self-Certify Your Living Arrangements 

• Option 1: Electronically, through your IHSS Electronic Services Portal (ESP) account by clicking on the Financial menu tab from the navigation bar and selecting "Live-In Provider" from the drop-down list 

• Option 2: Paper form, complete and mail the Live-In Self-Certification Form (SOC 2298) to the address provided on the form

SOC 2298 Translations: Armenian | Chinese | Spanish

If you need the SOC 2298 Form mailed to you, contact the Provider Enrollment Hotline at 714-825-3195.