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WebDate of Application: Case Number (if known): Section 1 – Personal Information Name of Applicant: Social Security Number: Street Address: City: State: Zip Code: Telephone: Email: Date of Birth: Sex: Male Female State of California – Health and Human Services Agency California Department of Social Services SOC 295L (9/18) Page 2 of 9 WebStep 1: Begin the Online Enrollment Process. Create your unique user profile & complete your online Orientation through the Provider Enrollment Application. This includes watching the mandatory Orientation videos. Review and electronically sign the required enrollment documents. Schedule your quick, In-Person Appointment to sign important ... WebIHSS office hours To keep you safe during COVID-19, we're here to assist you by email and phone, Monday-Friday, 8:00 a.m. to 5:00 p.m. For IHSS Provider questions Email … can i go to nursing school online