California Department of Social Services Forms

This form is used for notifying California residents of their approval for the restoration of CalFresh benefits.

This form is used for CalFresh recipients in California to report their household's budget and expenses on a semi-annual basis.

This document is used for filing periodic reports on residents at drug addiction or alcoholic treatment and rehabilitation centers as well as group living arrangements in California.

This document is used for reporting the status of a CalFresh mid-certification period in California.

This Form is used for requesting child care authorization for CalWORKs Stage One program in California.

This Form is used for creating a lien agreement in the state of California. It is a legal document that outlines the terms and conditions of a lien being placed on a property or asset.

This Form is used for notifying CalWORKs recipients in California about their time limit. It is specifically for recipients who have reached their 42nd month on aid.

This form is used for determining if an individual is eligible for an extension of the 48-month time limit for CalWORKs benefits in California. It helps to determine if the individual meets the eligibility criteria for an extension.

This form is used for notifying and agreeing on child, spousal, and medical support in California.

This form is used for answering questions and providing support for individuals living in California.

This Form is used for food stamp recipients in California to enter into a repayment agreement for administrative errors only.

This Form is used for notifying individuals in California who have been denied or disqualified from receiving food stamps due to failure to meet the work rules of the Food Stamp Program.

This form is used for notifying individuals in California of the approval or denial of their Disaster CalFresh benefits.

This form is used for notifying CalFresh recipients in California about overissuance due to intentional program violation (IPV).

This form is used for the CalWORKs Home Visiting Program (HVP) Opt-In in California. It allows participants to enroll in the HVP program and receive home-based support services.

This form is used for creating a repayment agreement for individuals in California who have committed an intentional program violation (IPV) in the Food Stamp program. It is specifically for cases related to IPV only.

This form is used for reporting on the placement status of a child under the Interstate Compact on the Placement of Children in California.

This form is used for requesting voluntary repayment of CalWORKs benefits in California. It allows individuals to repay benefits received in excess or by mistake.

This form is used for applying for a license to operate a community care facility or residential care facility for the elderly in the state of California.

This form is used for applying to be placed on the Temporary Manager Candidate List in California.

This Form is used for calculating the CalFresh budget with special medical and shelter deductions in California.

This Form is used for applying for temporary manager appointment in California.

This form is used for administrative purposes within the context of the LIC309 organization in California.

This form is used for providing supplemental financial information specifically for the state of California. It is typically required by the California Department of Insurance or other regulatory bodies for certain insurance-related purposes.