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IHSS & Public Authority Email Request

2. SIGN UP HERE WITH YOUR EMAIL ADDRESS
   Receive the Public Authority & IHSS Newsletter and other essential program and payroll updates.

   Receive the Public Authority & IHSS Newsletter and other essential program and payroll updates.

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   1. Interested in IHSS RECIPIENT related information

   1. Interested in IHSS PROVIDER related information

6. email address*

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10. 1. Receive an email copy of this form.
11. Email address

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