California Department of Social Services Forms

This form is used for applicants of the In-Home Supportive Services (IHSS) program in California to request a general exception as a provider.

This document is used to request an appeal for a provider enrollment denial in California. It allows providers to challenge the decision and provide additional information or documentation to support their case.

This form is used for determining income eligibility for the Cash Assistance Program for Immigrants (CAPI) in California for adults.

This form is used for reporting changes in cash aid and CalFresh benefits in California.

This form is used for imposing civil penalties related to background checks for caregivers in California.

This form is used for renewing the registration of home care aides in California. It is necessary for home care aides to complete this form in order to continue providing care services to individuals in their homes.

This form is used for ordering county forms in California.

This form provides income guidelines for the Emergency Food Assistance Program (TEFAP) in California. It is available in both English and Spanish.

This form is used for reporting excess medical deductions when applying for CalFresh benefits in California. It helps applicants deduct qualifying medical expenses to increase their food assistance benefits.

This document is used for the Adoption Assistance Program (AAP) Agreement in California.

This document is used to provide a statement of facts for determining continuing eligibility for the Cash Assistance Program for Immigrants (CAPI) in California.

This form is used for requesting an exemption from workweek limits for extraordinary circumstances in the In-Home Supportive Services (IHSS) program in California.

This form is used for stepparent adoption in California. It allows a stepparent to legally adopt their spouse's child and establish a parent-child relationship.

This form is used for a presumed father to provide consent to adoption even if he denies being the biological father. It is applicable for both California residents and non-residents.

This form is used for parents in California who are choosing to consent to the adoption of their child while retaining custody.

This form is used for stepparent adoption in California when a parent gives consent to the adoption, granting custody to the husband, wife, or domestic partner of the other parent.

This form is used for collecting the psychosocial and medical history of non-minor dependents in the state of California. It helps gather important information about their background and health conditions.

This form is used for the physician's examination of adoption applicants/petitioners in California. It is available in both English and Spanish.

This form is used for authorizing the use and/or disclosure of health information in the state of California.

This form is used for obtaining parental consent to adoption when the parent is serving in the Armed Forces outside of California.