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IHSS Provider New Timesheet Tips

The State of California will switch the IHSS payroll system beginning November 4, 2013.  This will change how IHSS provider timesheets will look and be processed. Here are some tips on how to complete your new timesheet to avoid any payment delays:


Ø  Do write time in hours and minutes (HH:MM).
Ø  Do only use black ink.
Ø  Do write only one number per box.
Ø  Do make sure you and the recipient sign and date where indicated on the back of timesheet
Ø  Do send your timesheet after the 15 or the last day of the month.
Ø  Do make sure writing is clear and legible.
Ø  Do mail to the IHSS Timesheet Processing Facility in Chico, CA with the preaddressed envelope provided.
Ø  Do complete a Provider or Recipient Change of Address and/or Telephone form (SOC 840) and submit to your local IHSS office if you need to update  your contact information.
Ø  Do sign the designated form (SOC 838) that indicates the assignment of authorized hours for each provider if you share consumer total hours with  another provider.




Ø  Do not use any colored pen or pencil to complete.

Ø  Do not use decimals or fractions (1.5, 1 ½, etc).

Ø  Do not erase, write over or scribble over the boxes or use white out on the timesheet.

Ø  Do not write outside the box.

Ø  Do not write over the boxes containing zeros (00:00).

Ø  Do not send your timesheet before the 15 or last day of the month.

Ø  Do not fold, include or staple anything else with the timesheet.

Ø  Do not forget to cut off your paystub before mailing the timesheet.

Ø  Do not forget to sign the back of the timesheet.

Ø  Do not claim more hours than you are authorized to work on any pay period.



Paychecks will be issued within 10 working days from when the IHSS Timesheet Processing Facility receives timesheet. Complete your timesheet carefully and timely.  Please remember that making mistakes will cause your timesheet to be rejected and your paycheck will be further delayed.   For additional question regarding how to complete the timesheet, delays, change of address information, request a new timesheet or other information, please contact  (760) 337-3084.


You can also go to the following link to see video on “Properly Completing a Timesheet for Processing in CMIPS II”:

Attention Providers, your Union representative is:

United Domestic Workers, AFSCME Local 3930/AFL-CIO (UDW)

Phone: 760-425-4034

Local Union Representative:

Linda Zavala

548 Broadway St. Suite 100

El Centro, CA 92243

UDW Member Benefit Center: 1 (800) 621-5016

One the Web:




Health Benefits

 Membership Information


Walker Insurance Solutions, LLC

940 Calle Negocio, Ste. 110

San Clemente, CA 92673

Telephone: (949)545-0163

Fax: (949)545-0167

Toll Free: (800)883-0902






Imperial County Cool Centers:

Imperial County Public Health Department

Information Hotline: 442-265-6777

Imperial County, Cool Centers



Prepare Plan Stay Informed


It is a good idea to be prepared for the unexpected such as a natural disaster.  A website that helps people be better prepared for emergency situations is the Federal Government's website at or you may call them at their toll-free number 1-800-237-3239.  Below are some excerpts from the U.S. Department of Homeland Security's emergency preparedness checklist.
At a minimum, your emergency kit should contain:
- 1 gallon of water per person per day ( a minimum of three days)
- a three day supply of non-perishable food (canned goods, dried and packaged foods)
- a battery powered radio with extra batteries (or a hand cranked radio)
- a flashlight with extra batteries (or a hand cranked flashlight)
- a first-aid kit with lots of bandages, ointments, alcohol/hydrogen peroxide, etc.
- a whistle (to summon help)
- filter masks (to block dust)
- moist towelettes
- wrenches and pliers (to turn off utilities)
- manual can opener
- garbage bags and ties (for waste)
- duct tape and towels (in case you need to block the outside air)
- personal medications for all family members
-family documents (important papers in case you have to start over again)
- credit cards and cash
- extra pair of glasses
- a change of clothing for each family member
- blankets or sleeping bags
- extra car keys
- any special items needed for infants or the elderly or disabled
Each family should assume that they will be required to survive upon their own for three days before help arrives.  Having a good emergency kit can make a big difference.
According to the Humane Society, no matter what the emergency, it is critical that you take your pet with you.   Pets left behind may be lost, injured or killed.

The following is a checklist of items to have prepared and ready to go.

 q       Portable pet carrier for cats, small dogs, other small animals and birds.  Clearly label the carrier with pet’s name, your name, address and phone number. Get pet(s) accustomed to carriers ahead of time.  Keep in an easily accessible place.           


The following can be packed in an airtight Rubbermaid or other suitable container:


q       Dry towels or blanket to line carrier and use if necessary.                                               

q       Roll of paper towels.                                                                                                                 

q       Food and water bowls for each animal.                                                                          

q       1-2 weeks supply of food and water in airtight containers.  Check periodically and replace with fresh as needed.  Include your pet’s favorite treats and toys.

q       If you use canned food, hand-operated can opener.                                                        

q       1-2 weeks supply of all medications your pet is taking clearly labeled with administrative instructions.  Be sure to include flea preventative and Heartworm treatment. Check these supplies periodically, and adjust and replenish as needed.                                                                                                        

q       Litter and litter boxes for cats.  Empty soda water boxes or disposable aluminum pans are excellent as disposable litter boxes.            

q       Health records including vaccinations in case of evacuation or need to stay in boarding kennel or other facility. 

q       Collar with current identification tag and microchip.                                        

q       Recent color photographs of each pet in case they get lost.                                             

q       Check out boarding kennel beforehand and keep the name and number handy.     

q       Numbers of pet-friendly hotels and motels.                                                         

q       Written instructions on caring for your pet in the event you must leave pet at the boarding kennel.             

q       Animal First Aid Kit (Ask your veterinarian what your pet will need).                  

q       Leashes.  Keep extra in emergency kit.                                                                      

     Your pet will be under severe trauma during this time so keep his/her routines as familiar as possible. Keep your pet(s) with you at all times or in a safe boarding kennel.  Do not leave a pet at home alone.  Take along familiar toys.  Get pet accustomed to riding in the car in advance to alleviate some of the stress.

Also, don't forget that our temperature is rising and summer is just around the corner.  So here are more tips from the Humane Society to keep your pet safe and healthy during the heat.
In case of an emergency, it's important to be able to identify the symptoms of heat stress caused by exposure to extreme temperatures. Check the animal for signs of heavy panting, glazed eyes, a rapid heartbeat, restlessness, excessive thirst, lethargy, fever, dizziness, lack of coordination, profuse salivation, vomiting, a deep red or purple tongue, and unconsciousness.

If the animal shows symptoms of heatstroke, take steps to gradually lower her body temperature immediately. Follow these tips, and it could save her life:


  • Move the animal into the shade or an air-conditioned area.
  • Apply ice packs or cold towels to her head, neck, and chest or immerse her in cool (not cold) water.
  • Let her drink small amounts of cool water or lick ice cubes.
  • Take her directly to a veterinarian.



In many states, it's against the law to leave a pet unattended in a parked vehicle in a manner than endangers the health or safety of the animal. Despite these laws, not to mention a basic common sense that should guide most pet owners during the summer, companion animals die every year from heatstroke. The worst part is knowing that each death was preventable. That's why sharing this information is so important. Summers, after all, are truly supposed to be carefree.


IHSS Public Authority 2013