California Department of Social Services Forms

This form is used for voluntary consent to participate in grant-based on-the-job training in California.

This form is used for tracking unpaid work experience and community service hours for participants in the CalFresh Program in California.

This form is used for the repayment agreement of supportive services received under the Welfare to Work/Cal-Learn program in California.

This document is used for scheduling appointments for the Welfare to Work Appraisal Program in California.

This form is used for students in California to provide financial aid statements for welfare-to-work supportive services.

This Form is used for providing notice to the other parent in California about important information regarding child support and custody arrangements.

This form is used for documenting the rights and responsibilities of individuals participating in the Welfare-to-Work program in California. It outlines the guidelines and expectations for recipients of welfare benefits who are transitioning into employment.

This form is used for notifying all CalFresh recipients in California about the Work Incentive Nutritional Supplement (Wins) benefit.

This form is used for requesting live scan service for Trustline Registry applicants in California.

This form is used for providing a criminal record statement when applying for registration with Trustline, a licensed home care agency in California.

This Form is used for requesting a trustline reference exemption in the state of California. It helps individuals who want to waive certain requirements for becoming a licensed trustline provider.

This type of document is used for applying to become an ancillary day care center provider in California.

This form is used for transferring a criminal background clearance request from one trustline to community care licensing in California.

This Form is used for applying as an in-home or license-exempt child care provider in California.

This Form is used for applying for a background check in the Trustline Registry in-Home/License Exempt Child Care Provider Program in California.

This form is used for calculating underpayment amounts on a Notice of Action Continuation Page in California.

This Form is used for recipients of the In-home Supportive Services (IHSS) program in California to declare their overtime and workweek requirements.

This Form is used for notifying recipients of the In-home Supportive Services Program in California when their provider is found ineligible due to failure to submit Soc 846.

This form is used for notifying a provider in the In-Home Supportive Services Program in California of their ineligibility due to failure to submit form SOC 846.

This Form is used for providing contact information for County IHSS Provider Appeals in California.

This form is used for notifying California residents of a particular action.

This Form is used for receiving a Notice of Action in California.

This form is used for providing a notice of action to individuals in the state of California.

This Form is used for notifying individuals of actions or changes in their case in the state of California.

This form is used for requesting an exemption from the Electronic Benefit Transfer (EBT) requirement for receiving cash aid in California.

This form is used for requesting cash aid or food stamp Electronic Benefit Transfer (EBT) services in California.

This Form is used for requesting a designated alternate card holder or authorized representative for cash aid and food stamp electronic benefit transfer (EBT) in California.

This form is used for requesting a review of CalWORKs welfare-to-work activities in California. It is available in English and Spanish.

This form is used for requesting a retroactive payment for transportation expenses under the CalWORKs program in California. The form is available in both English and Spanish.

This form is used for providing notice of action in the state of California. It is used to inform individuals of any actions or decisions made regarding their case or application.

This Form is used for providing a Notice of Action in the state of California.

This form is used for providing notice of action in the state of California. It is typically used in legal or administrative proceedings to inform individuals of a decision or action that has been taken.

This form is used for implementing new cash aid and food stamp rules related to fingerprint and photo imaging in the state of California.

This form is used for notifying individuals in California about a specific action or decision taken by an organization or government agency.

This Form is used for requesting a review of the CalWORKs Self-Initiated Program (SIP) in California.

This form is used for making amendments to a contract and providing notice to all parties involved in the state of California.

This form is used for referring individuals receiving welfare benefits to a work assistance program in California.

This form is used for transmitting information related to the CalWORKs/Food Stamp Welfare Intercept System (WIS) in California.

This document is used for reporting a forged endorsement in California.

This form is used for the Transitional Independent Living Plan (STEP TILP) in California, which supports emancipated youth between the ages of 18 and 21 as they transition into independent living.