How do you apply?
Applications may be submitted in-person at one of our 5 locations, online at ccssreferrals@clarkcountynv.gov or by fax at 702-678-5221.
Files below are fillable, for best results please download the file to your computer or phone and complete using an Adobe product.
CCSS Application - English Applications can be emailed to CCSSReferrals@ClarkCountyNV.gov, faxed to 702-678-5221 or mailed to CCSS 1600 Pinto Lane Las Vegas, NV 89106.
CCSS Application - Spanish
Las solicitudes pueden enviarse por correo electrónico a CCSSReferrals@ClarkCountyNV.gov, por fax al 702-678-5221o enviarse por correo a CCSS 1600 Pinto Lane Las Vegas, NV 89106.
Long Term Care application
HHHA Referral
W9 to be filled out by Property Owner Please click here