California Department of Social Services Forms

This form is used for the approval continuation of In-Home Supportive Services (IHSS) in California. It is a notice of action that informs individuals of the decision regarding their IHSS eligibility.

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

This form is used for notifying individuals in California about the approval of their In-Home Supportive Services (IHSS) application. It serves as a notice of action regarding their IHSS approval.

This Form is used for notifying the approval of In-Home Supportive Services (IHSS) in California.

This document is used to notify individuals in California about budget sanctions.

This form is used for notifying individuals in California about an overissuance of CalFresh benefits and a dormant EBT account.

This Form is used for providing a continuation page for notifying individuals about underpayment amount owed in the state of California, for underpayments occurring on or after October 1, 2013.

This form is used as a continuation page for providing information about underpayment amounts owed in California. It is specifically for underpayments that occurred on or after July 1, 2011.

This form is used for providing a continuation page to report underpayment amounts owed in California.

This Form is used for providing additional information regarding the Notice of Action for Excess Property (without Good Faith) in California.

This form is used for notifying individuals in California about the continuation of previous actions taken regarding excess property with good faith.

This form is used for notifying individuals in California about the discontinuation or suspension of the optional transfer of property for certain persons.

This form is used for providing additional information in continuation of the NA277 Notice of Action for Optional Persons Transfer of Property in California.

This form is used for calculating and adjusting overpayment amounts for cash aid in California. It is a continuation page for the Notice of Action (NA275) form.

This form is used for reporting and calculating overpayment amounts owed to the state of California. It is specifically for overpayments that occurred on or after July 1, 2011.

This form is used for reporting and addressing overpayment amounts owed in the state of California that occurred between January 1, 1998, and June 30, 2011. It serves as a continuation page for the NA274E Notice of Action form.

This form is used for notifying individuals in California of an overpayment amount owed from September 1, 1995, to December 31, 1997.

This document is a continuation page for Form NA274C Notice of Action. It specifically addresses overpayment amounts owed in California for overpayments occurring between September 1, 1991, and August 31, 1995.

This form is used for notifying individuals in California about overpayment amounts owed for overpayments that occurred between October 1, 1989, and August 31, 1991. It serves as a continuation page for the Notice of Action form NA274B.

This form is used for notifying individuals about the overpayment amount owed in California, for overpayments that occurred prior to October 1, 1989.

This form is used as a continuation page for the Notice of Action document in California. It provides additional space for including relevant information or attachments.

This form is used for notifying sponsored non-citizens in California about their rights regarding deemed property.

This form is used for filing a complaint and logging violations in the state of California.

This Form is used for renewing the approval of a continuing education course for the Administrator Certification Program in California.

This form is used for filing a complaint investigation report in California. It is a document that allows individuals to report issues or problems they have experienced and provides an avenue for the state to investigate and address these concerns.

This form is used for providing a summary of facts in California. It is a summary sheet used to outline important details.

This form is used for registering the residents of residential care facilities for the elderly in California. It helps keep track of the individuals living in these facilities.

This form is used for registering clients or residents in facilities in the state of California.

This Form is used for requesting non-confidential records in California.

This form is used for providing additional details and supporting information for the LIC812 application in California. It helps to provide more information and documentation to support the application process.

This form is used for reporting law enforcement contact in California. It is specifically designed for law enforcement agencies to document and compile information regarding their interactions with individuals or incidents. This form helps in maintaining records and ensuring transparency in law enforcement activities.

This form is used for recording the administration of psychotropic medication in California. It helps to track and monitor the usage of medication for individuals.

Use this form if you are health care professional to keep track of non-psychotropic medications prescribed to a child. This four-page record sheet is often referred to as a drug chart.