California Department of Social Services Forms

This form is used for scheduling the work shifts of facilities staff in California.

This form is used for obtaining consent for emergency medical treatment in child care centers or family child care homes in California.

This form must be completed if you wish to work at, be licensed, or present at a licensed community care facility or organization.

This Form is used for applying for a Medical Consultant I or Medical Consultant I (Psychiatrist) position in California.

File this form if you are the physician of the applicant for admission to a Community Care Facility and have a thorough knowledge of the patient's medical issues. The goal of this document is to check if the patient can continue their residential treatment at the facility.

The purpose of the document is to keep a record of centrally stored medication and to keep a record of the destruction of medication in the state of California.

This form is used for obtaining consent for emergency medical treatment in adult and elderly residential facilities in California.

This form is used for acknowledging the receipt of licensing reports in the state of California.

This document is also known as the LIC injury report form. It is an application intended for daycare providers used to report unusual incidents to the appropriate California state organizations.

This form is used for adding an amendment to the notification of parents' rights for Family Child Care Homes in California. It specifically deals with the topic of removal or exclusion of children from the home.

This form is used for requesting live scan service for individuals applying for the Subsidized Trustline Registry in California.

This Form is used for exempting oneself from registering with Trustline and for self-certifying health and safety measures in California.

This form is used for authorizing a caregiver to make medical and educational decisions for a child in California.

This Form is used for administrative organization purposes in the state of California. It is commonly used to establish or update the organization structure of different departments within a government agency or organization.

This form was issued and distributed by the California Department of Social Services Community Care Licensing Division. Use it for child care-related matters. The form description has explanations of parental rights related to the child care facilities, as well as a list of relevant documents.

This form is used for providing supplemental financial information in the state of California.

This Form is used for obtaining a surety bond in California. Surety bonds are a type of insurance that provides financial protection in case the party being bonded fails to fulfill their obligations. This document is required for various business activities in California.

This form is used for reporting changes in household information for CalFresh benefits in California.

This form is used for licensed child care centers in California to report the medical conditions of children under their care.

This form is used for notifying individuals in California about an approved overpayment made to a Relative Caregiver (ARC).

This form is used for applying to the CalWORKs Educational Opportunity and Attainment (EOA) Program in California.

This Form is used for Online CalWORKs Appraisal Tool Rights and Privacy in California.

This form is used for the End of Welfare-To-Work 24-month Time Clock Review Appointment Letter in California.

This form is used for requesting a 24-month time clock extension for the Welfare-To-Work (WTW) program in California.

This Form is used for Assembly Bill (AB) 74 County Welfare Department Family Stabilization (Fs) Plan in California.

This type of document is used for the Assembly Bill (AB) 74 County Welfare Department (Cwd) Expanded Subsidized Employment (Ese) Plan in California.

This form is used by welfare recipients in California to track the 24-month time clock requirement for welfare-to-work programs.

This form is used for obtaining permission to release domestic abuse information when moving to another county in California.

This form is used for creating a compliance plan for the Welfare to Work program in California. It outlines the steps and requirements for individuals to incentivize work and reduce dependence on welfare benefits.

This form is used for requesting a meeting to discuss meeting welfare-to-work rules in order to reinstate cash aid in the state of California.

This Form is used for creating a plan to meet welfare-to-work rules and regain cash aid in California. It helps individuals outline steps to fulfill requirements and receive financial assistance.

This form is used for requesting a determination of good cause in California. It is for individuals who need to show that they have a valid reason for not meeting certain requirements or obligations.

This Form is used for obtaining permission to release information about learning disabilities in California.

This Form is used for screening learning needs in California.

This form is used for screening learning needs in California.

This form is used for requesting a waiver of the learning disabilities screening and/or evaluation requirement for CalWORKs recipients in California.