California Department of Social Services Forms

This form is used for providing notice of involuntary child custody proceedings for an Indian child in the Juvenile Court of California.

This form is used for conducting an assessment of a relative or nonrelative extended family member who can provide caregiver services for a nonminor dependent in California.

This Form is used for assessing the eligibility of a relative or non-relative extended family member caregiver in California. It helps determine if the caregiver meets the required criteria to provide care for a child or children.

This type of document is a checklist used in California to assess the health and safety standards of a family caregiver home for nonminor dependents.

This Form is used for a checklist of health and safety standards for the approval of family caregiver homes in California.

This form is used for obtaining approval for a family caregiver home in California. It enables individuals to provide care for their family members in a home setting.

This form is used for abatements in California that have not been processed through the Ca 800 claim.

This Form is used for reporting abatements that were not processed through the county expense claim in California.

This form is used for the In-Home Supportive Services (IHSS) sponsor to alien deeming process in California. It helps determine the financial eligibility of an alien sponsor for the IHSS program.

This form is used for applicants in California who want to change their status from institutional care to a home setting. It requires certification of contact with the Social Security Administration (SSA).

This Form is used for applicants of the Cash Assistance Program for Immigrants (Capi) in California who are requesting an exception due to indigence.

This form is used for requesting a waiver of overpayment recovery without fault for the Cash Assistance Program for Immigrants (CAPI) in California.

This form is used for requesting a waiver of overpayment recovery in the Cash Assistance Program for Immigrants (CAPI) in California. It is specifically for reporting income and expenses related to the waiver request.

This form is used for requesting reimbursement from the state of California for interim assistance provided to individuals in need.

This form is used for the Cash Assistance Program for Immigrants (Capi) in California. It is specifically for sponsors of aliens and is called the SOC454 Sponsor to Alien Deeming Worksheet.

This Form is used for determining the income eligibility of children for the Cash Assistance Program for Immigrants (Capi) in California.

This form is used for claiming reimbursement for expenses incurred under the In-Home Supportive Services Program Contract in California. It allows individuals to seek reimbursement for approved expenditures related to their contracted services.

This form is used for enrolling an agency in the Personal Care Services Program in California.

This Form is used for physician's certification of medical necessity in California.

This Form is used for applying for child welfare services in California.

This form is used for amending the agreement of the Kinship Guardianship Assistance Payment (Kin-Gap) Program in California.

This form is used for the collection of overpayments in the In-home Supportive Services program in California.

This form is used for submitting the Batch Cover Sheet for In-home Supportive Services in California. It is used to provide necessary information for processing multiple forms together in a batch.

This form is used for pre-authorized transactions for In-home Supportive Services in California.

This Form is used for determining the income eligibility of children applying for the In-Home Supportive Services program in California.

This form is used for determining the income eligibility of adults in California for the In-Home Supportive Services (IHSS) program.

This form is used for applying for the non-minor dependent rate under the Transitional Housing Program Plus Foster Care in California.

This Form is used for conducting a facility evaluation of a Transitional Housing Program-Plus-Foster Care Facility in California.

This form is used for applying for the Transitional Housing Program-Plus-Foster Care (THP-Plus-FC) in California. It includes a checklist for the approval or denial of the application, or if the decision is pending.

This form is used for applying to become a Transitional Housing Program (THP)-Plus-Foster Care provider in California.

This form is used for certifying the participation of a foster youth in extended foster care in California.

This form is used for Foster Family Agencies in California to document and track contact and service delivery with Child Welfare Services/Case Management System.

This Form is used for keeping records and certifying foster children for the AFDC-FC program in California.