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IP/ID Card Sign-Up

Complete the form below to schedule an appointment for an IP/ID card from the San Francisco IHSS Public Authority:

General Information

First Name: Last Name:

Email Address: Phone Number:

Provider ID Number: * Your ID number can be found on the IHSS paystub or on the e-timesheet portal.

Examples to find Provider ID Number.

Bring the following to your appointment

• Photo ID / Valid driver's license
• IHSS Timesheet (from the past 30 days)

Schedule Date

Choose the day that you like to come for your appointment:

	Wednesday January 20th	Wednesday January 27th	Wednesday February 3rd	Wednesday February 10th
1:30pm - 3:30pm

Confirm Your IP/ID Card Appointment