California Department of Social Services Forms

This Form is used for requesting a waiver on staffing qualifications for site supervisors or program directors in California.

This form is used for requesting an extension of the Site Supervisor or Program Director Staffing Qualifications Waiver in the state of California.

This form is used for applying for CalFresh benefits in California. CalFresh is a program that provides eligible low-income individuals and families with funds to purchase food.

This form is used for requesting an exemption from income requirements in California.

This form is used to request a hearing for the Assistance Dog Special Allowance Program (ADSA) in California."

This form is used for requesting a hearing related to the Assistance Dog Special Allowance Program (ADSA) in California. The form is available in large print format.

This form is used for California businesses that need to request a one-time exception for a corrective action plan. It allows businesses to outline their plan for addressing a specific issue and request approval from the relevant authorities.

This form is used for viewing the program calendar in California.

This form is used for calculating the child-to-teacher ratio in California childcare settings. It helps ensure the safety and quality of care provided to children.

The purpose of the form is to provide Family Child Care providers with signed confirmation from the parents or guardians of a child on the subject of liability insurance in the facility.

This form was released by the California Department of Social Services (CDSS) and is a legal document that informs every new employee of a child care facility of their rights to file complaints against the employer for violating laws and regulations.

This form is used for conducting facility inspections of community treatment facilities in California. It is known as the LIC9119 CTF Facility Inspection Checklist.

This Form is used for completing an entrance checklist for a Community Treatment Facility (CTF) in California.

This form is used for reporting long-term debt that was incurred in a previous fiscal year, including any balloon debt, in the state of California.

This form is used for calculating the net operating expenses in California. It is specifically designated as Form 5-4 (LIC9268).

This Form is used for calculating the refund reserve amount in California.

This form is used for preparing the annual report checklist for companies operating in California. It helps businesses ensure that they have submitted all the required documents and information for their annual report.

This form is used for filing a Key Indicators Report in the state of California.

This form is used for conducting a risk assessment for small family homes in California. It helps to ensure the safety and well-being of occupants and comply with state regulations.

This form is used for notifying individuals in California about a specific action that has been taken regarding their case or application.