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Forms & Documents > Participant Services > CalWORKs > Forms

Name Description
CW 4 - Immediate Need Payment Request CW 4 - Immediate Need Payment Request
CW 4 - Immediate Need Payment Request CW 4 - Immediate Need Payment Request
CCP 7 - CalWORKs Child Care Request Form and Child Care Payment Rules CCP 7 - CalWORKs Child Care Request Form and Child Care Payment Rules
CCP 7 - CalWORKs Child Care Request Form and Child Care Payment Rules (Sp) CCP 7 - CalWORKs Child Care Request Form and Child Care Payment Rules (Sp)
CW 42 - Statement of Facts - Homeless Assistance CW 42 - Statement of Facts - Homeless Assistance
CW 42 - Statement of Facts - Homeless Assistance (Sp) CW 42 - Statement of Facts - Homeless Assistance (Sp)
CW 74 - Permanent Housing Search Document CW 74 - Permanent Housing Search Document
CW 74 - Permanent Housing Search Document (Sp) CW 74 - Permanent Housing Search Document (Sp)
CW-2-0-Multicultural-Quality-of-Life-Index

CW 2.0 Multicultural Quality of Life Index

CW-2-0-Triage-Tool

CW 2.0 Triage Tool

DSS-821-Confidential-Self-Assessment-for-Services-and-Referral

DSS 821 Confidential Self Assessment for Services and Referral

DSS-821-Confidential-Self-Assessment-for-Services-and-Referral-(Sp)

DSS 821 Confidential Self Assessment for Services and Referral (Sp)

DSS-CW-206-Domestic-Violence-Informing-Notice

DSS CW 206 Domestic Violence Informing Notice

DSS-CW-206-Domestic-Violence-Informing-Notice-(Sp)

DSS CW 206 Domestic Violence Informing Notice (Sp)

DSS-ES-259-CW-Required-Discussion-Handbook

DSS ES 259 CalWORKs Required Discussion Handbook (Sp)

DSS-ES-259-CW-Required-Discussion-Handbook-(Sp)

DSS ES 259 CalWORKs Required Discussion Handbook (Sp)

DSS-HSP-1-CW-Housing-Support-Program-HSP-Application

DSS HSP 1 CW Housing Support Program HSP Application

DSS-HSP-1-CW-Housing-Support-Program-HSP-Application-(Sp)

DSS HSP 1 CW Housing Support Program HSP Application (Sp)

CW 52 CalWORKs Child Support Instead of Cash Grant Option CW 52 CalWORKs Child Support Instead of Cash Grant Option
CW 52 CalWORKs Child Support Instead of Cash Grant Option (Sp) CW 52 CalWORKs Child Support Instead of Cash Grant Option (Sp)
CW 80 Self-Certification Form for Motor Vehicles - CalWORKs CW 80 Self-Certification Form for Motor Vehicles - CalWORKs
CW 80 Self-Certification Form for Motor Vehicles - CalWORKs (Sp) CW 80 Formulario de autocertificación para vehículos motorizados - CalWORKs
CW 2186A CalWORKs Exemption Request Form CW 2186A CalWORKs Exemption Request Form
CW 2186A CalWORKs Exemption Request Form (Sp) CW 2186A Petición para una exención en CalWORKs
CW 2209 Immunization Good Cause Request Form CW 2209 Immunization Good Cause Request Form
CW 2209 Immunization Good Cause Request Form (Sp) CW 2209 Formulario de petición para no inmunizar por motivo justificado
CW 2223 Demographic Questionnaire for CW/RCA/ECA/TCVAP/CF CW 2223 Demographic Questionnaire for CW/RCA/ECA/TCVAP/CF Form
CW 2224 CalWORKs Home Visiting Program (HVP) CW 2224 CalWORKs Home Visiting Program (HVP)
CW 2224 CalWORKs Home Visiting Program (HVP) (Sp) CW 2224 Programa de visitas domiciliarias (HVP) de CalWORKs

Contact Social Services

Child Hotline Information:

  • If you suspect there is an emergency requiring immediate intervention, call 911
  • To report suspected child abuse or neglect call the 24 hour Child Abuse Hotline at (805) 781-KIDS (5437) or toll free 1-800-834-KIDS (5437)

Adult Hotline Information:

  • If you suspect there is an emergency requiring immediate intervention, call 911
  • To report suspected elder abuse or neglect call the Adult Services Hotline at (805) 781-1790 during regular business hours, or after business hours call (844) 729-8011
  • Mandated Reporter