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Change of address form

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California Department of Social Services • Home Care Services Branch • Sacramento, California

Change of address form

HCS 105

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Agency

California Department of Social Services

Section

Community Care Licensing Division - Home Care Services Branch

Department

Community Care Licensing Division

Office

Home Care Services Branch

Location

Sacramento, California

Last Checked

June 2, 2026

Verification & trust

Status Unverified

Last verified June 2, 2026

Confidence 0.9

What this fax number is for

Home Care Services Branch

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Source and verification

Change of address form

Added June 2, 2026

If you need to make changes to your name and/or mailing address, please email a completed HCS 105 to FaxHCSB@dss.ca.gov, or mail a completed copy to the address below.

View Source Confidence: 0.9

Type FaxNumber

Agency California Department of Social Services

Label Change of address form

Fax Number HCS 105

This listing is meant to help users confirm the correct fax destination before sending documents.

Unverified Checked Jun 2, 2026