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Processing takes up to ten calendar days, and the requester receives an Employment/Income Verification Letter, Form 70-24.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/form-70-23-request-for-verification-of-employmentincome/276533/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/form-70-23-request-for-verification-of-employmentincome/276533.png","ImageObject",442,249,{"name":42,"@type":43},"Maya Linwood","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-29","2026-09-15",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",10,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What is Form 70-23 used for?","Question",{"text":63,"@type":64},"Form 70-23 is used to request verification of IHSS employment or income. The completed form triggers the issuance of an employment/income verification letter.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What information is required in Section I?",{"text":68,"@type":64},"Section I requires the IHSS provider’s last and first name, social security number, and phone number.",{"name":70,"@type":61,"acceptedAnswer":71},"Which delivery methods are available for verification?",{"text":72,"@type":64},"Verification can be picked up in the office by the IHSS provider (photo ID required), faxed to the fax number listed in Section II, or mailed. Mail delivery depends on the address on file unless address or telephone changes are handled via SOC 840.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},276533,1789493849,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":111,"slug":112},17,40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":110,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":26,"language":136,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":12,"update_tm":80,"read_time":22},962084928432,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Department of Adult and Aging Services  \nIn-Home Supportive Services Payroll Unit  \n6955 Foothill Blvd., Suite 300 Oakland, CA 94605  \nOffice: 510-577-1877 l Fax: 510-577-1819 [www.alamedasocialservices.org](www.alamedasocialservices.org)  \nRequest for Verification of Employment/Income  \nPlease read the instructions on the back of this form before completing this form. To request verification of employment or income, please complete this form. If this form is completed by an individual other than the IHSS provider, a signed authorized release of information is required for the release of employment/income verification.  \n\n| Section I . IHSS Provider Information |  |\n| --- | --- |\n| Last, First Name |  |\n| Social Security Number | Phone Number |\n\n\n| Section II . Requester Information |  |\n| --- | --- |\n| Name of Individual, Agency or Business requesting verification. |  |\n| Address | Verification Period (MM/YY):\u003Cbr>From To |\n| Fax Number (if applicable) | Fax to the Attention of : |\n\n\n|  Section III . Delivery Method.  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- |\n| Please check (√) one of the following: |  |  |  |  |  |  |  |\n|  |  | PICK-UP VERIFICATION (Provider only) . |  |  |  FAX VERIFICATION to phone number listed in Section II. |  |  |\n| Photo ID is required. |  |  |  |  |  |  |  |\n|  |  | MAIL VERIFICATION TO: |  | Myself (Provider) |  |  | Business or Agency listed in Section II. |\n\n\n| I hereby authorize the IHSS Payroll Unit to release the information indicated above to the individual, agency or business. |  |\n| --- | --- |\n| Provider Signature | Date |\n\nForm 70-23, Employment/Income Verification, Revised, 1/20/15  \n1  \nInstructions for Completing the Request for Employment/Income Verification, Form 70-23  \nTo request verification of In-Home Supportive Services (IHSS) employment or income, please complete the Request for Employment/ Income, Form 70-23. Please allow up to ten calendar days from the receipt date for processing.  \nSection I . IHSS Provider Information  \nIn this section, enter the IHSS provider’s last and first name, social security number and phone number.  \nSection II . Requester Information  \nIn this section, enter the individual, agency or business requesting the information which includes the address and fax number.  \nIf the requester is an individual other than the IHSS provider, a signed authorized release of information is required for the release of employment/income verification.  \nSection III . Delivery Method  \nIn this section, select one of the following delivery methods:  \n• Request pick-up in the office. Only the IHSS provider may pick up his/her verification.  \nPhoto identification is required.  \n• Fax the verification. Verification will be faxed to the fax number in Section II.  \n• Mail the verification. If the provider is requesting verification be sent to him/ her self, employment/ income verifications will be mailed to the address that is currently in the Payroll System. If there is a change of address or telephone number, the change of address form, IHSS Program Provider or Recipient Change of Address/Telephone Number, SOC 840 must be completed and returned to the IHSS payroll unit.  \nThe IHSS Payroll Unit shall process the request within ten calendar days from the receipt date.  \nThe requester shall receive a completed Employment/ Income Verification Letter, Form 70-24.  \nThe Employment/ Income Verification Letter, Form 70-24 includes the following:  \n• IHSS Provider's name  \n• Date of Hire/Date of Termination  \n• Hourly Pay Rate  \n• Monthly Authorized Hours  \n• Monthly Gross Salary  \n• Year to Date Income (for current year)  \n• Previous Year Income or last year  \nForm 70-23, Employment/Income Verification, Revised, 1/20/15  \n2","cbCaiqdyIlxoIdrw","https://ap.wps.com/l/cbCaiqdyIlxoIdrw","pdf",212425,"English","# Section I: IHSS Provider Information\n# Section II: Requester Information\n# Section III: Delivery Method\n# Instructions for Completing the Request for Employment/Income Verification, Form 70-23","[{\"question\":\"What is Form 70-23 used for?\",\"answer\":\"Form 70-23 is used to request verification of IHSS employment or income. The completed form triggers the issuance of an employment/income verification letter.\"},{\"question\":\"What information is required in Section I?\",\"answer\":\"Section I requires the IHSS provider’s last and first name, social security number, and phone number.\"},{\"question\":\"Which delivery methods are available for verification?\",\"answer\":\"Verification can be picked up in the office by the IHSS provider (photo ID required), faxed to the fax number listed in Section II, or mailed. Mail delivery depends on the address on file unless address or telephone changes are handled via SOC 840.\"}]","Form 70-23 - Request for Verification of Employment/Income | PDF"]