California Department of Social Services Forms

This form is used for California residents who receive food stamps and need to report changes in their household on a quarterly basis. It notifies the Department of Social Services about any changes that may affect their eligibility or benefits.

This form is used for notifying California residents about the approval of their food stamp application.

This form is used for CalFresh recipients in California to report their household budget for quarterly reporting purposes.

This form is used for reporting the quarterly income of senior parents in California.

This Form is used for California residents to report their quarterly income and resources as a sponsor.

This form is used for sponsors in California to provide a statement of their income and resources for immigration purposes.

This form is used for reporting eligibility and status for cash aid and food stamps in California.

This form is used for reporting changes in cash aid and food stamps in the state of California. It is important to submit this form to ensure that your benefits are accurately adjusted based on any income or household changes.

This form is used for conducting a client needs survey in California. It gathers information to ensure services are tailored to meet the specific needs of clients.

This Form is used for reporting data incidents to the IRS Office of Safeguards in California. It is used to notify the IRS of any unauthorized disclosure, loss, or theft of taxpayer information.

This form is used for reporting data incidents to the Social Security Administration (SSA) in California.

This form is used for notifying a change in the approved relative caregiver (ARC) payment in California.

This form is used for notifying individuals that their request to approve the Relative Caregiver (ARC) payment in California has been approved.

This Form is used for notifying individuals in California about the 24-month time clock limit for their participation in the welfare-to-work program. It serves as a reminder that their eligibility for these benefits will expire after 24 months of participation.

This form is used for canceling electronic notifications in California. It allows individuals to opt out of receiving electronic notifications from certain entities or organizations.

This form is used for electronic notification notice in the state of California.

This document is used for completing an electronic notification agreement in the state of California. It allows individuals to consent to receive notifications electronically instead of through traditional mail.

This Form is used for notifying an individual of the denial of their home assessment or approval in California.

This form is used for notifying individuals in California that their action is being discontinued.

This form is used for notifying individuals in California about the approval of an action.

This document is used for informing CalFresh recipients in California about the intercounty transfer of their benefits. It provides important information regarding the transfer process and any changes that may occur.

This document is used for informing CalFresh beneficiaries in California about the receiving of an intercounty transfer.

This form is used for notifying kinship-guardians in California about a specific action or notice. It is intended for individuals who have legal guardianship over a family member's child.

This Form is used for notifying Group Homes, Short-Term Residential Treatment Centers, Foster Family Agencies, Transitional Housing Placement-Plus Foster Care and Transitional Housing Placement Program in California about certain actions or changes.

This form is used for notifying actions related to the In-Home Supportive Services (IHSS) program in California. It provides information and updates regarding IHSS services for eligible individuals.

This form is used to notify individuals receiving In-Home Supportive Services (IHSS) in California of any actions or changes related to their services.

This form is used for notifying individuals receiving In-Home Supportive Services (IHSS) in California about their share of cost.

This Form is used for notifying individuals enrolled in the In-Home Supportive Services (IHSS) program in California about their share of cost.

This form is used for notifying individuals about the termination of In-Home Supportive Services (IHSS) in California.

This form is used for notifying individuals in California that their In-Home Supportive Services (IHSS) is being terminated. It provides information on the action being taken and the reasons for the termination. If you receive this notice, it is important to review it carefully and take any necessary steps to address the termination of IHSS services.

This form is used for notifying changes in the In-Home Supportive Services (IHSS) program in California. It notifies recipients of actions or decisions regarding their IHSS benefits.

This form is used for notifying individuals receiving In-Home Supportive Services (IHSS) in California about changes in their eligibility and continuation of services.

This form is used for notifying individuals in California about changes in their In-Home Supportive Services (IHSS) benefits. It serves as a notice of action regarding any modifications or adjustments to the IHSS program.

This form is used for notifying changes in the In-Home Supportive Services (IHSS) program in California.

This Form is used for notifying individuals in California who have been denied In-Home Supportive Services (IHSS). It provides information on the reasons for the denial and any steps that can be taken to appeal the decision.

This form is used for providing notice of action to inform individuals that their application for In-Home Supportive Services (IHSS) in California has been denied.