Welcome to our Respite Forms page, which includes our most frequently requested documents. If you do not find what you are looking for, please give us a call or email us on the Contact Us page. Most of the forms are in .pdf format and can be viewed with the free Adobe reader that you can download here.
**CONVERSION RESPITE FAMILIES — All of the form links below in this color with ** are required to process your application and that of your referred caregiver. Once we receive all completed forms, and an authorization from the regional center, it should only take 5 business days to get you going! You can fax everything over to us at (805) 384‑0986 or scan and email all forms to Admin@IslandSocialServices.org
Family Forms
Regional Center Respite
- Family Preferences Form** | Spanish
- Parent Waiver to Designate Respite Caregiver** | Spanish
- Family Participation Agreement ** | Spanish
- Matching Staff Form | Spanish
- Respite Travel Authorization | Spanish
Enhanced Respite
- Parental Verification Form - Families must sign for each day that care is received AND must also sign the bottom of Page 2
Foster and Kinship Respite
- Foster and Kinship Respite Family Application
- Foster and Kinship Child Packet (one is included in the family packet) — one required for each child-
Employment Forms
Payroll Forms
- 2012 CISS Pay Periods | Spanish
- 2012 CISS Respite Timesheet | Spanish
- 2012 CISS Data Entry Timesheet (save on your computer and open in Microsoft Excel)
