California Department of Social Services Forms

This document is a form used in California for conducting a family assessment. It is designed to gather information about the family's strengths and needs to help determine appropriate support and services.

This form is used for reporting changes in household information for individuals receiving food stamp benefits in California.

This form is used for Cal-Learn participants in California to submit their report cards according to a specific schedule.

This form is used for notifying individuals in California who have received food stamps about the repayment of benefits due to administrative errors. It serves as a final notice for repayment and is specific to administrative errors only.

This form is used for notifying individuals in California that their Cal-Learn participation will be terminated due to a determination of no good cause.

This form is used for notifying individuals about their administrative disqualification from the CalWORKs program in California.

This form is used for notifying students in California's Cal-Learn program about incomplete grades. It provides information on what steps need to be taken to complete their grades.

This Form is used for revoking consent in an independent adoption program in California.

This Form is used for authorizing the release of information by an applicant in California.

This form is used for notifying individuals in California who have committed intentional program violations regarding the repayment of food stamps.

This Form is used for transferring the Cal-Learn case management information between different counties within California.

This form is used for summarizing case management inter-county transfers in the Cal-Learn program in California.

This document is used for providing notice and agreement for child, spousal, and medical support in the state of California.

This Form is used when transferring an independent adoption placement agreement in California. It is used to transmit the agreement to the appropriate authorities.

This Form is used for requesting immediate need payment in the state of California. It is specifically for individuals who require immediate financial assistance.

This Form is used for requesting an interview with a parent in California.

This form is used for notifying recipients of the Food Stamp program in California about their benefits being discontinued.

This form is used for verifying marriages and divorces in the state of California.

This form is used for outlining the court report and recommendations to dismiss a petition in California.

This form is used for veterans to verify and refer their benefits in the state of California.

This Form is used for providing a statement of facts for an additional person in California.

This form is used for collecting information from individuals who are interested in participating in an independent adoption in California.

This form is used for adding a child under the age of 16 to a case in California by providing a statement of facts.

This form is used for filing an affidavit to request a replacement for a lost warrant in the state of California that was issued by a different county.

This form is used for requesting a reference in the state of California.

This form is used for notifying the California authorities about the withdrawal of an application.

This form is used to request a state hearing before the State Department of Social Services in California.

This form is used for parents in California who refuse to give their consent to the adoption of their child.

This document is used for establishing a legal agreement between a caretaker and a relative in California. It helps outline the responsibilities, terms, and conditions of the caregiving arrangement.

This form is used to collect information about state hearings in California for DPA99.

This form is used for senior parents in California to provide a statement of facts.

This form is used for authorizing the release of personal items in the state of California.

This Form is used for alleged fathers in California to refuse consent to adoption. It allows them to formally declare their opposition to the adoption.