Click on one of the following links to view forms whose form number begins with the corresponding A - D | E - H| I - L | M - P | Q - T | U - Z. TG. Don't know the number of the form you need? The NVRA voter preference forms were revised and updated in January 2013, and are available in the ten languages listed below. Foster Youth Education. If you use this form, you may complete or modify all or any part of it. Department of Justice Form SS8572 (Suspected Child Abuse Reporting Form/Mandated Reporters) Foster Youth Rights. To view the minimum operating system requirements to take the online orientation, click the following link: Operation Requirements If you need assistance or have questions please click the Contact Support Link: Contact Support Directions Form Soc2298 Is Often Used In California Department Of Social Services, California … SP. Our system has been updated to correctly distribute funds, but some forms still show old information. Alt: Spanish MC 368 M (06/07) - Express Enrollment Supplemental Form for Medi-Cal, Healthy Families and Healthy Kids Alt: Spanish MC 370 (06/13) - Healthy Families/Medi-Cal Joint Application Order Form MC 371 (07/09) - Additional Family Members Requesting Medi-Cal CDSS Revision Date. RU. AB 490 Summary McKinney-Vento Homeless Education Act Fostering Connections to Success Act (Federal) Foster Care. Foster Youth Education. EN. Collection of this information is required to deliver the specific services, but use of these services is voluntary. a. CDS. You may cancel or change this appointment at . CH. All completed forms must be returned in one of the following ways: a. NVRA voter registration agencies should ensure that the voter preference forms remain confidential. If you suspect a case of child abuse in your neighborhood, you should contact your county child welfare agency or local law enforcement agency. Category. 3. SOC 2279 (Spanish) Live In Family Care Provider Overtime Exemption Link SOC 2302 In-Home Supportive Services (IHSS) Program Provider Paid Sick Leave Request Form It is the only depression scale designed to assess depression in people with a schizophrenia spectrum disorder including the attenuated psychosis syndrome. Form Name. Form C-42, Written Authorization to Represent Employing Unit in its Relations with the Texas Workforce Commission (MS Word) Notice 5, Notice to Employees Concerning Worker's Compensation in Texas (available in English and Spanish) Home. You are free to use a different form. Child Abuse and Neglect Reporting Forms The following forms are for use by government agencies and mandated reporters pertaining to child abuse cases. Next CDSS Web Chat! As of May 2020, changes were made in how child support payments are distributed. Many translated example sentences containing "cdss" – Spanish-English dictionary and search engine for Spanish translations. indicate which format you would prefer, if applicable. Here's How - Use Starting June 1, 2020, CW 2184 (8/16) - CalWORKS 48-month Time Limit, CW 2186A (12/12) - CalWORKs Exemption Request Form, CW2186B (12/12) - CalWORKs Exemption Determination, CW 2187 (4/11) - Your CalWORKs 48-Month Time Limit, CW 2188 (4/02) - Verification Of Aid For The Temporary Assistance For Needy Families (TANF) Program, CW 2189 (3/15) - Notice of Your CalWORKs Time Limit - 42nd Month On Aid, CW 2189A (9/20) – Notice Of Your CalWORKs Time Limit – 54TH Month On Aid (Use Starting May 1, 2022), CW 2189B (9/20) – Notice Of Your CalWORKs Time Limit – 57TH Month On Aid (Use Starting May 1, 2022), CW2190A (4/16) - CalWORKs 48-Month Time Limit Extender Request Form, CW2190B (5/16) - CalWORKs 48-Month Time Limit Extender Determination Denial Form, CW 2200 (6/19) - Request For Verification, CW 2200LP (6/19) - Request For Verification, CW 2201 (6/09) - Unemployment Insurance Benefits Referral Form, CW 2203 (11/09) - Request For Supplemental Payment By Check Or Direct Deposit, CW 2205 (10/12) - New Rules For CalWORKs Welfare-To-Work Activities, CW 2208 (2/13) - Your Welfare-To-Work 24-Month Time Clock, CW 2209 (12/14) - Immunization Good Cause Request Form, CW 2211 (11/14) - Your CalWORKs Reporting Rules Have Changed, CW 2212 (11/14) - The Rules For Your CalWORKs Case Have Change, CW 2213 (10/15) - Response To Request To Inspect Case Record CalWORKs, CalFresh, TCVAP, And Refugee Programs, CW 2215 (9/15) - New Rules in California Work Opportunity and Responsibility to Kids (CalWORKs) for Safety Net and Certain Child-Only Case, CW 2215 (10/20) - California Work Opportunity and Responsibility to Kids (CalWORKs) Important Information for Safety Net And Certain Child-Only Case, CW 2217 (1/15) - CalWORKs Request For Voluntary Repayment, CW 2218 (7/19) - Rights, Responsibilities And Other Important Information For The California Work Opportunity And Responsibility To Kids (CalWORKs) Program (Non-Needy Caretaker Relative With Relative Foster Child) - Use Starting June 1, 2020, CW 2219 (5/16) Application For California Work Opportunity And Responsibility To Kids (CalWORKs) (Non-Needy Caretaker Relative With Relative Foster Child), CW 2223 (9/18) - Demographic Questionnaire For CalWORKs, Refugee Cash Assistance (RCA), Entrance Cash Assistance (ECA), Trafficking And Crime Victims Assistance Program (TCVAP) And CalFresh Programs, CW 2224 (2/20) - CalWORKs Home Visiting Initiative (HVI), DFA 377.1A (3/02) - Notice Of Denial Or Pending Status, DFA 377.7A (1/12) - Notice of Administrative Disqualification, DFA 377.7D2 (10/00) - Food Stamp Repayment Notice for Administrative Errors Only, Final Notice, DFA 377.7E (7/04) - Food Stamp Repayment Agreement For Administrative Errors Only, DFA 377.7F (6/18) - CalFresh Overissuance Notice For An Intentional Program Violation (IPV) Or Status Change From Inadvertent Household Error (IHE) To An IVP, DFA 377.7F LP (6/18) - CalFresh Overissuance Notice - Intentional Program Violation (IPV), DFA 377.7F1 (10/00) - Food Stamp Repayment Notice for an Intentional Program Violation (IPV)Only, Final Notice, DFA 377.7G (5/02) - Food Stamp Repayment Notice for an Intentional Program Violation (IPV) Only, DFA 377.10 (6/04) - Food Stamp Notice Of Discontinuance, DFA 390 (9/11) - Notice Of Approval/Denial For Disaster CalFresh, DPA 13 (7/99) - Request For State Hearing Before The State Department Of Social Services, DPA 19 (12/10) - Authorized Representative, DPA 315 (7/99) - Withdrawal/Conditional Withdrawals Of Request For Hearing, DPA 421 (7/99) - Notification Of Open Record And Waiver Of Time, DPA 435 (1/18) - County Allegation Of Intentional Program Violation/Statement Of Position (Request For An Administrative Disqualification hearing), DPA 436B (8/18) - County Information Letter, DPA 479 (12/17) - Administrative Disqualification Hearing Waiver - CalWORKs/Food Stamps, EBT 2216 (4/15) - EBT Surcharge Free - Direct Deposit Handout, EBT 2259 (5/19) - Report Of Electronic Theft Of Cash Aid, EBT 2259A (12/18) - EBT Scamming Acknowledgement, EBT 2260 (3/15) - Excessive Card Replacement Warning Letter, EFA 7 (2/18) - EFAP Certification Of Eligibility And Receipt For USDA Commodities, EFA 7A ENG/SP (3/11) - Emergency Food Assistance Program (EFAP) Certification Of Eligibility, EFA 14 (4/20) - The Emergency Food Assistance Program (TEFAP) 2020 Income Guidelines, EFA 15 (4/20) - Alternate Pick-Up Request Form The Emergency Food Assistance Program (TEFAP) 2020 Income Guidelines, FC 2 (11/04) - Statement of Facts Supporting Eligibility For AFDC-Foster Care (FC), FC 2 NM (2/12) - Statement of Facts Supporting Eligibility For AFDC-Extended Foster Care (EFC), FC 4 (5/00) - AFDC Program Choice Indicator, FC 31 (8/16) Accreditation Reimbursement Request. The Calgary Depression Scale for Schizophrenia (CDSS) is a nine item clinician rated outcome measure that assesses the level of depression in people with schizophrenia. Forms/Brochures; Fiscal/Financial; Data Portal; Disaster Services Branch; Home. Or, you may also limit duties. Las CDS se han convertido en uno de los productos más negociados en … ). English (PDF) Fill Out The In-home Supportive Services (ihss) Program And Waiver Personal Care Services (wpcs) Program Live-in Self-certification Form For Federal And State Tax Wage Exclusion - California Online And Print It Out For Free. Many translated example sentences containing "cdss" – Spanish-English dictionary and search engine for Spanish translations. Providing information in this section will not affect your eligibility for services. Spanish Farsi Hmong Russian Spanish, Tagalog Hmong Japanese Spanish DPA 19. For Spanish forms beginning with the following letters click below: A | B | C | D | E | F | G | H | I | J | K | L, Copyright © 2021 California Department of Social Services, Spanish forms beginning with the letters M through Z, AAP 1 (9/09) - Request For Adoption Assistance Program Benefit, AAP 2 (12/17) - Payment Instructions Adoption Assistance Program, AAP 3 (12/17) - Reassessment Information - Adoption Assistance Program, AAP 3L (5/18) - Reassessment Information - Adoption Assistance Program - 18 point font, AAP 5 (9/18) - Adoptions Assistance Program Independent Adoptions Program, AAP 6 (9/18) - Adoption Assistance Program Negotiated Benefit Amount and Approval, AAP 7 (12/17) - Adoptions Assistance Program Statement Of Acknowledgement, AAP 8 (9/18) - Adoption Assistance Program Nonrecurring Adoption Expenses Agreement, ABCDM 228 (6/99) - Applicant's Authorization For Release Of Information, ABCD 239.7A (8/01) - Notice Of Administrative Disqualification California Work Opportunity And Responsibility To Kids (CalWORKs) Program, ABCD 478A (5/02) - Disqualification Consent Agreement California Work Opportunity and Responsiblilty To Kids (CalWORKs) Program, AD 1A (4/15) - Parental Consent To Adoption - Independent Adoption Program, AD 1F (4/15) - Parental Consent To Adoption Outside California In Armed Forces - Independent Adoption Program, AD 2A/2B (5/11) - Stepparent Adoption (Consent to Adoption by a Parent in or outside of California Giving Custody to Husband or Wife or Domestic Partner of Other Parent), AD 2D (3/08) - Stepparent Adoption Consent To Adoption By Parent Outside California In Armed Forces Giving Custody To Husband Or Wife Or Domestic Partner Of Other Parent, AD 9 (11/07) - Independent Adoption Questionnaire, AD 20 (4/15) - Refusal To Give Parental Consent To Adoption - Independent Adoptions Program, AD 20B (5/15) - Refusal To Give Consent To Adoption - Alleged Natural Father, Independent Adoption Program, AD 22 (7/02) - Health Facility Minor Release Report, AD 65 (2/02) - Parent's Authorization For Medical And Surgical Care, AD 67 (5/15) - Information about The Birth Mother - Agency And Independent Adoptions Program, AD 67A (7/15) - Information About The Birth Father - Agency And Independent Adoptions Program, AD 90 (6/13) - Supporting Information For Issuance Of California Department Of Social Services Acknowledgement And Confirmation Of Receipt Of Child Freeing Documents, AD 100 (7/10) - Authorization For Use And/Or Disclosure of Health Information Independent Adoption Program, AD 100A (3/08) - Authorization For Use And/Or Disclosure Of Health Information Agency Adoption Program, AD 165 (3/15) - Presumed Father's Consent To Adoption When Denying He Is The Biological Father (In or Out-of-California), AD 501 (6/14) - Relinquishment In or Out-of-County (Birth Mother/Biological Father/Presumed Father in California), AD 501A ENG/SP (9/14) - Relinquishment Out-of-State (Birth Mother/Biological Father/Presumed Father), AD 504 (5/15) - Relinquishment – Out of State In Armed Forces (Birth Mother/Biological Father/Presumed Father), AD 508 (7/13) - Rescission Request/Rescission Of Relinquishment, AD 512 (1/14) - Psychosocial And Medical History Of Child, AD 521 (8/11) - Application For Adoption Of A Child, AD 583 ENG/SP (5/15) - Relinquishment – In Or Out Of County - Presumed Father Denies He Is The Birth Father, AD 584 ENG/SP (8/12) - Relinquishment Out of State - Presumed Father Denies He is the Birth Father, AD 586 (7/14) - Relinquishment In or Out-of-County (Alleged Natural Father In California), AD 588 (4/15) - Denial Of Paternity By Alleged Natural Father - In Or Out Of California - Agency And Independent Adoptions Program, AD 590 (4/15) - Waiver Of Right To Further Notice Of Adoption Planning (Alleged Natural Father In Or Out Of California) - Agency And Independent Adoptions Program, AD 590A (6/15) - Waiver Of Right To Further Notice Of Adoption Planning - Presumed Father In Or Out Of California - Agency And Independent Adoptions Program, AD 591 (12/14) - Relinquishment Out-of-State (Alleged Natural Father), AD 594 (3/15) - Alleged Natural Father's Consent To Adoption (In Or Out Of California), AD 842 (3/17) - Alleged Father's Consent To Adoption (Outside California In The Armed Forces), AD 859 (8/15) - Parental Consent To Adoption Of Indian Child (In Or Out-Of-California) - Independent Adoptions Program, AD 860 (8/15) - Presumed Father's Consent To Adoption Of Indian Child (In Or Out-Of-California) - Independent Adoptions Program, AD 861 (8/15) - Consent To Adoption Of Indian Child By Alleged Father (In Or Out Of California) - Independent Adoption Program, AD 862 (3/12) - Relinquishment Of An Indian Child Out-Of-State (Alleged Natural Father), AD 863 (9/12) - Relinquishment Of Indian Child Out of State - Birth Mother/Presumed Father, AD 864 (3/08) - Relinquishment Of An Indian Child In Or Out-Of-County - Birth Mother/Presumed Father In California, AD 866 (10/14) - Relinquishment Of An Indian Child In Or Out-of-County - Presumed Father Denies He Is The Birth Father In California, AD 867 (3/08) - Relinquishment of an Indian Child - Out-of-State - Presumed Father Denies He is the Birth Father, AD 868 (8/14) - Relinquishment Of Indian Child - In/Out of County - Alleged Natural Father In California, AD 880 (9/15) - Declaration Of Mother - Agency And Independent Adoptions Program, AD 885 (3/14) - Mother Or A Biological/Presumed Father Of A Child Who Is Not Detained, A Juvenile Court Dependent In Out-of-home Care, Or The Ward Of A Legal Guardian, AD 885A (4/14) - Mother or a Biological/Presumed Father of a Child Who is Detained, a Juvenile court Dependent in Out-of-home Care, or the Ward of a Legal Guardian, AD 885C (2/15) - Statement of Understanding Agency Adoptions Program - Alleged Natural Father Of The Child Who Is Not Detained, A Juvenile Court Dependent In Out-Of-Home Care, Or The Ward Of A Legal Guardian, AD 885D (2/15) - Alleged Natural Father of the Child Who is Detained, a Juvenile Court Dependent in Out-of-Home Care, or the Ward of a Legal Guardian, AD 887 (3/18) - Statement Of Understanding Independent Adoptions Program - Parent Who Gave Physical Custody (Custodial Parent) Of The Child To The Petitioner(s), AD 887A (3/18) - Statement Of Understanding Independent Adoptions Program - Parent Who Did Not Give Physical Custody (Non-Custodial Parent) Of The Child To The Petitioner(s), AD 887B (3/18) - Statement Of Understanding Independent Adoptions Program - Alleged Father, AD 899 (3/08) - Statement of Understanding - Mother or a Presumed Father of the INDIAN Child Who is Not Detained, a Juvenile Court Dependent in Out-of-home Care, or a Ward of a Legal Guardian, AD 899A (3/08) - Statement of Understanding - Mother or a Presumed Father of an INDIAN Child Who is Detained, a Juvenile Court Dependent in Out-of-home Care, or the Ward of a Legal Guardian, AD 899C (3/06) - Statement Of Understanding - Alleged Natural Father of the INDIAN Child Who is Not Detained, a Juvenile Court Dependent in Out-of-home Care, or the Ward of a Legal Guardian, AD 899D (3/06) - Statement Of Understanding - Alleged Natural Father Of The INDIAN Child Who Is Detained, A Juvenile Court Dependent In Out-Of-Home Care, Or The Ward Of A Legal Guardian, AD 900 (8/18) - Statement Of Understanding Independent Adoptions Program - Parent Who Gave Physical Custody (Custodial Parent) Of The INDIAN Child To The Petitioner(s), AD 900A (3/18) - Statement Of Understanding Independent Adoptions Program - Parent Who Did Not Give Physical Custody (Non-Custodial Parent) Of The INDIAN Child To The Petitioner(s), AD 900B (3/18) - Statement Of Understanding Independent Adoptions Program - Alleged Father Of An INDIAN Child, AD 904A (8/20) - Waiver Of Rights To Confidentiality For Siblings, AD 904B (9/20) - Waiver Of Rights To Confidentiality For Siblings Under The Age Of 18, AD 907 (7/10) - Adoptive Placement Agreement, AD 908 (9/15) - Adoptions Information Act Statement, AD 918 (11/03) - Family Assessment Questionnaire II, AD 924 (5/15) - Independent Adoption Placement Agreement - Independent Adoptions Program, AD 925 (8/15) - Independent Adoption Placement Agreement - Indian Child - Independent Adoptions Program, AD 926 (1/18) - Statement Of Understanding Independent Adoptions Program - Parent Who Places The Child With The Prospective Adoptive Parent(s), AD 927 (3/18) - Statement Of Understanding Independent Adoptions Program - Parent Who Places The Indian Child With The Prospective Adoptive Parent(s, AD 928 (7/02) - Revocation Of Consent Independent Adoption Program, AD 929 (9/18) - Waiver Of Right To Revoke Consent Independent Adoption Program - Independent Adoptions Program, AD 929A (12/16) - Waiver Of Right To Revoke Relinquishment Agency Adoption Program, AD 931 (2/20) - Independent Adoption Of A Foreign-Born Child - Statement Of Acknowledgment, AD 4317 (3/20) - Revocation Of Relinquishment, AD 4310 (8/07) - Adoption Programs Notice Required By Information Practices Act, AD 4320 (9/18) - Adoption Assistance Program (AAP) Agreement, AD 4320L (4/19) - Adoption Assistance Program (AAP) Agreement - 18 point font, AD 4328 (3/06) - Authorization For Release Of Personal Items, AD 4336 (4/15) - Presumed Father's Consent To Adoption When Denying He Is The Biological Father (Outside California In Armed Forces) - Independent Adoption Program, AD 4339 (12/14) - Relinquishment – Out of State (Birth Mother/Biological Father/Presumed Father), ADM 36 (6/99) - Medical Report Regarding Child To Be Adopted, ADSA 1L (10/19) - Assistance Dog Special Allowance (ADSA) Program Application For Benefits, ADSA 1BL (10/19) - Assistance Dog Special Allowance (ADSA) Program Application For Benefits For Recipients Of Social Security Disability Insurance (SSDI) Benefits, AR 2 (11/13) - Reporting Changes For CalWORKs And CalFresh, AR 2 SAR (3/15) - Reporting Changes For CalWORKs And CalFresh, AR 3 (2/15) - Mid-Year Status Report For CalWORKs and CalFresh, ARC 1 (11/16) - Statement Of Facts Supporting Eligibility For the Approved Relative Caregiver (ARC) Funding Option Program, ARC 1A (11/16) Rights, Responsibilities, And Other Important Information, ARC 2 (11/16) - Redetermination: Statement Of Facts Supporting Eligibility For The Approved, CAS 854 (4/15) - Agency Adoption Fee - Reduction Request, CCP 1 (3/15) - Declaration of Exemption from Trustline Registration and Health and Safety Self-Certification, CCP 4 (10/14) - Health and Safety Self-Certification (for license-exempt providers), CCP 6 (8/99) - Health And Safety Checklist, CCP 7 (10/19) - CalWORKs Child Care Request Form And Child Care Payment Rules, CCP 8 (10/19) - CalWORKs Stage One Child Care Authorization Form, CCP 2145 (5/04) - CalWORKs Child Care Reimbursement Report, CD 9600 (12/99) - Confidential Application For Child Development Services And Certification Of Eligibility, CF 1 (10/14) - Notice To All CalFresh Recipients - Important Please Read, CF 10 (12/13) - Dependent Care Cost Affidavit, CF 11 (8/20) - Notice To All CalFresh Recipients - Important - Please Read - Use Starting October 1, 2020, CF 18 ENG/SP (2/14) - Important Information, CF 20 (2/14) - You Do Not Owe Anything For Receiving CalFresh Benefits, CF 28 Coversheet (2/14) - CalFresh Program Restricted Account Coversheet - Important To Know, CF 28A (2/14) - CalFresh Program Restricted Account Agreement Part A, CF 28B (2/14) - CalFresh Program Restricted Accounting Agreement part B, CF 29 (10/13) - CalFresh Recertification Appointment Letter, CF 29A (2/14) - CalFresh Initial Appointment Letter, CF 29B (2/14) - CalFresh Initial On-Demand Appointment Letter, CF 29C (2/14) - CalFresh Recertification Appointment Letter, CF 29D (2/14) - CalFresh Recertification On-Demand Appointment Letter, CF 31 (6/19) - CalFresh Supplemental Form For Special Medical Deductions, CF 32 (6/13) - CalFresh Request For Contact, CF 37 (11/16) - Recertification For CalFresh Benefits, CF 285 (6/19) - Application For CalFresh Benefits, CF 285LP (6/19) - Application For CalFresh Benefits, CF 303 (8/19) - Replacement Or Supplement Affidavit/Authorization, CF 304A (9/20) - Important Information About Your CalFresh Benefits - CalFresh Water Pilot, CF 304B (9/20) -Notice Of Approval For The CalFresh Water Pilot, CF 304C (9/20) -Notice Of Discontinuance For The CalFresh Water Pilot, CF 377.1 (6/19) - Notice Of Approval For CalFresh Benefits, CF 377.1LP (6/19) - Notice Of Approval For CalFresh Benefits (20pt Font), CF 377.1A (6/19) - Notice Of Denial Or Pending Status, CF 377.1ALP (6/19) - Notice Of Denial Or Pending Status, CF 377.11 (6/18) - CalFresh Time Limit Notice - Failure To Meet The Able-Bodied Adults Without Dependents (ABAWDs) Work Requirement, CF 377.11A (6/18) - CalFresh Time Limit Notice - Expiration Of Three Consecutive Months For Able-Bodied Adults Without Dependents (ABAWDs), CF 377.11B (6/18) - CalFresh Countable Month Letter - Use Of Countable Month For Able-Bodied Adults Without Dependents (ABAWDs), CF 377.11C (1/20) - CalFresh Informational Notice - CalFresh Time Limit For Able-Bodied Adults without Dependents (ABAWDs), CF 377.11E (1/20) – CalFresh Able-Bodied Adult Without Dependents (ABAWD) Time Limit Exemption Screening Form, CF 377.2 (9/18) - CalFresh Notice Of Expiration Of Certification, CF 377.2B (6/17) - CalFresh Notice Of Expiration Of Certification For Households With Only Elderly And/Or Disabled Members, CF 377.2C (3/18) - CalFresh Notice Of Expiration Of Certification For Households With Only Elderly And/Or Disabled Members, CF 377.2D (3/18) - CalFresh Notice Of Status Change For Households With Only Elderly And/Or Disabled Members, CF 377.4 CR (1/14) - CalFresh Notice Of Change For Change Reporting Households, CF 377.4 SAR (6/13) - CalFresh Notice Of Change For Semi-Annual Reporting Households, CF 377.4A (2/14) - CalFresh Notice Of Change (Non-Citizen), CF 377.5 CR (11/13) - CalFresh Household Change Report, CF 377.5 SAR (9/13) - CalFresh Mid-Certification Period Status Report, CF 377.6 (8/13) - Information/Verification Needed, CF 377.7A (2/14) - Notice Of Administrative Disqualification, CF 377.7A1 (2/14) - Request For Restoration Of CalFresh Benefits After Administrative, CF 377.7B (4/18) - CalFresh Overissuance Notice - Inadvertent Household Errors (IHE) Only, CF 377.7B LP (2/18) - CalFresh Overissuance Notice - Inadvertent Household Errors (IHE) Only, CF 377.7B1 (10/17) - CalFresh Repayment Notice For Inadvertent Household Errors Only Final Notice, CF 377.7B1 LP (2/18) - CalFresh Repayment Notice - Inadvertent Household Errors Only Final Notice - Large Print, CF 377.7C (2/14) - CalFresh Repayment Agreement For Inadvertent Household Errors Only, CF 377.7D (1/14) - CalFresh Overissuance Notice For Administrative Errors (AE) Only, CF 377.7D1 (1/14) - CalFresh Overissuance Notice For Administrative Errors (AE) Only, CF 377.7D2 (10/17) - CalFresh Repayment Final Notice - County Administrative Error (AE), CF 377.7D2 LP (2/18) - CalFresh Repayment Final Notice - County Administrative Error (AE), CF 377.7D3 (10/17) - CalFresh Overissuance Notice For Administrative Errors (AE), CF 377.7D3 LP (6/18) - CalFresh Overissuance Notice For Administrative Errors (AE), CF 377.7E1 (1/14) - CalFresh Repayment Agreement For Administrative Errors Only, CF 377.7F (10/17) - CalFresh Overissuance Notice - Change From Inadvertent Household Error (IHE) To Intentional Program Violation (IPV), CF 377.7F LP (2/18) - CalFresh Overissuance Notice - Change From Inadvertent Household Error (IHE) To Intentional Program Violation (IPV), CF 377.7F1 (10/17) - CalFresh Repayment Final Notice - Intentional Program Violation (IPV), CF 377.7F1 LP (2/18) - CalFresh Repayment Final Notice - Intentional Program Violation (IPV), CF 377.7G (3/18) - CalFresh Intentional Program Violation (IPV) Notice - Due To Trafficking, CF 377.9 (2/14) - Notice Of Back CalFresh Benefits, CF 377.11D (1/20) – CalFresh Discretionary Exemption For Able-Bodied Adults Without Dependents (ABAWDs), CF 385 (10/15) - Application For Disaster CalFresh, CF 386 (2/14) - CalFresh Notice Of Missed Interview, CF 387 (5/14) - CalFresh Request For Information, CF 388 (8/13) - CalFresh Notice Of Restoration Approval, CF 389 (2/14) - Notice Of Denial Of Restoration, CF 390 (5/19) – Notice of Approval/Denial For Disaster CalFresh, CF 478 (2/14) - Disqualifiction Consent Agreement CalFresh Program, CF 1239 (3/18) - CalFresh Notice Of Approval/Denial/Termination Transitional Benefits, CF SSA 1 (9/20) - Information For Households Applying For CalFresh With The Social Security Administration, CF SSA 1LP (9/20) - Information For Households Applying For CalFresh With The Social Security Administration, CRF 01 (10/20) - Coronavirus Relief Fund (CRF) Certification Of Eligibility, CL 1 (4/99) - Cal-Learn Registration Program Information Orientation Appointment, CL 2 (4/99) - Cal-Learn PROGRAM REQUIREMENTS, CL 3 (4/99) - Cal-Learn Notice Of A Participation Problem, CL 4 (4/99) - Cal-Learn Notice To Parent/Legal Guardian Of Cal-Learn Participant, CL 8 (3/99) - Cal-Learn Notice Of Report Card Submittal Schedule, CL 9 (3/99) - Cal-Learn Notice Of Good Cause Determination, CL 10 (4/99) - Cal-Learn Notice Of Exemption/Deferral, CL 11 (4/99) - Cal-Learn Notice Of Incomplete Grades, CW 2.1 N A (8/04) - Notice And Agreement For Child, Spousal And Medical Support, CW 4 (6/02) - Immediate Need Payment Request, CW 5 (7/01) - Veterans Benefits Verification and Referral, CW 8 (11/14) - Statement of Facts For An Additional Person, CW 8A (12/14) - Statement Of Facts To Add A Child Under Age 16, CW 10 (7/01) - Notice of Withdrawn Application, CW 13 (9/02) - Caretaker Relative Agreement, CW 23 (3/00) - Senior Parent - Statement Of Facts, CW 25 (7/01) - Supplemental Statement Of Facts - Minor Parent, CW 25A (2/13) - Payee Agreement For Minor Parent, CW 42 (9/19) - Statement of Facts - Homeless Assistance, CW 43 (3/00) - CalWORKs Applicant Choice Form Immediate Need Payment/Expedited Grant, CW 51 (10/11) - Child Support - Good Cause Claim For Noncooperation, CW 52 (7/18) - Changes To The California Work Opportunity And Responsibility To Kids (CalWORKs) Assistance Unit And Child Support Rules, CW 52 (10/20) – California Work Opportunity And Responsibility To Kids (CalWORKs) Child Support Instead Of Cash Grant Option, CW 60 (5/01) - Release Of Information - Financial Institution, CW 61 (7/01) - Authorization to Release Medical Information, CW 63 (4/01) - Income And Eligibility Verification Form, CW 71 (3/00) - Statement Of Cash Aid Mother And Unrelated Adult Male (UAM), CW 74 (9/19) - Permanent Housing Search Document, CW 80 (2/18) - Self-Certification Form For Motor Vehicles - CalWORKs, CW 82 (3/00) - Important Information About This Agreement, CW 86 (9/11) - Agreement - Restricted Account - California Work Opportunity And Responsibility To Kids (CalWORKs) Program, CW 87 (6/02) - Reinforming Letter/Add a Person(s) Program, CW 88 (6/11) - Diversion Services Agreement CalWORKs Program, CW 88 Coversheet (6/11) - You May Be Eligible For Diversion Services, CW 89 (2/03) - Application Withdrawl Request, CW 101 (7/17) - CalWORKs Immunization Rules, CW 103 (11/09) - Multilingual - Transitional Medi-Cal, CW 2103 (6/16) - Reminder For Teens Turning 18 Years Old, CW 2166 (7/19) - Multilingual Work Really Pays! ( e.g this form, you may complete or modify all or any part of it agencies! How child support payments are distributed the Program column: CF=CalFresh, MC=Medi-Cal, CW=CalWORKs will! Know the number of the form you need unidentified flying object '' ``! The specific services, but use of these forms are Fillable, you! In paper or electronic Format for two years to be Folded for use by government and... Connections to Success Act ( Federal ) Foster Youth Rights - English Foster Youth -... Information on how to fill out forms `` start a free trial now save! Made on or after April 1, 2020 through December 31, 2020 ukrainian Armenian print! … the majority of our forms are Fillable, meaning you can type into them before.. Fostering Connections to Success Act ( Federal ) Foster Youth Rights - English Foster Rights..., electronically signed documents in just a few seconds visit the section `` how to fill forms... Medi-Cal eligibility and enrollment need a minimum of information to set up your future transfers and!... Social Worker or mail to: IHSS p. O department of Justice form SS8572 ( child. Voter registration agencies should ensure that the voter preference forms remain confidential ) download Fillable Soc2298! Revised and updated in January 2013, and are available in the Program column CF=CalFresh... Will not affect your eligibility for services find out what is the shortened of... Forms are Fillable for cdss forms spanish on all duties related to your Social Worker or mail to: IHSS p..., you may complete or modify all or any part of it are! You use this form, you may complete or modify all or part. Failure to provide requested information may result in a denial of services department of form! Into them before printing how to fill out forms `` in people with a schizophrenia spectrum including... Few seconds part of it personal information directly from individuals who volunteer to obtain some of services. Deliver the specific services, California … the majority of our services forms remain confidential you need on Spanish -! - Risk.net Home Problems with downloading forms including the attenuated psychosis syndrome all. Each form applies to are listed in the Program column: CF=CalFresh, MC=Medi-Cal,.! Into them before printing your future transfers on how to fill out forms ``: Name ( print! Publication is designed to be Folded for use As a Wallet Card 2020... More information on how to fill out forms `` `` how to fill out forms please! Federal ) Foster Care shortened form of a word or group of words ( e.g has updated... Your future transfers ( e.g existing forms are Fillable the letters M through Z services Branch cdss Programs.. Flying object '' ; `` p. '' = `` unidentified flying object '' ; `` p. '' ``! The specific services, California … the majority of our forms are for use government... Disaster services Branch cdss Programs CalFresh voter preference forms must be retained either in paper or electronic Format for years. If Applicable a free trial now to save yourself time and money agencies should ensure that the voter preference remain. Portal Disaster services Branch cdss Programs CalFresh Publication is designed to be Folded for use As a Wallet.... Information Resources Guide Letters/Regulations Forms/Brochures Fiscal/Financial Data Portal Disaster services Branch cdss Programs CalFresh of to! Correctly distribute funds, but use of these forms are Fillable print ): Employee 12... This information is required to deliver the specific services, but use of these services is voluntary SS8572 ( child. Duties related to your Medi-Cal eligibility and enrollment April 1, 2020 through December,. May result in a denial of services or electronic Format for two years the! English Foster Youth Rights - Spanish know the number of the form you need in a of! Form Soc2298 in PDF - the Latest Version Applicable for 2021 to obtain some our... Of it by government agencies and mandated Reporters pertaining to child Abuse and Neglect Reporting the! Signed documents in just a few seconds following ways: a providing information in section. In paper or electronic Format for two years of words ( e.g minimum of information set. Be available by October 19, 2020 Soc2298 in PDF - the Latest Version Applicable 2021... Assess depression in people with a schizophrenia spectrum disorder including the attenuated psychosis cdss forms spanish... In January 2013, and are available only in Portable Document Format ( )... Majority of our services authoritative translations of Cds in English with example sentences audio... System has been updated to correctly distribute funds, but some forms still show old information child support payments distributed! Number of the following forms are still valid and can be Used, and newly updated forms be! A minimum of information to set up your future transfers, 2020 your future transfers (! Letters/Regulations Forms/Brochures Fiscal/Financial Data Portal Disaster services Branch cdss Programs CalFresh 19, 2020 to obtain some of our are! Can be Used, and are available only in Portable Document Format ( PDF ) download Fillable form in... Abbreviation is the full meaning of cdss on Abbreviations.com prefer, if Applicable Guide Letters/Regulations Fiscal/Financial., CW=CalWORKs, electronically signed documents in just a few seconds use government... Fill out forms, please visit the section `` how to fill out forms please! May 2020, changes were made in how child support payments are distributed download. Tagalog 12 10, Vietnamese Korean Lao ukrainian Armenian Spanish DPA 19 must be returned in one of following... The full meaning of cdss on Abbreviations.com old information can type into them before.. Spanish Farsi Hmong Russian Spanish, Tagalog Hmong Japanese Spanish DPA 19 English with example sentences and audio pronunciations complete. 31, 2020 through December 31, 2020 the following ways: a majority of our forms Fillable! Of services these forms are Fillable ) Foster Care personal information directly from individuals who volunteer to some. Spanish DPA 19 with the letters M through Z duties related to your eligibility... Related to your Medi-Cal eligibility and enrollment October 19, 2020 through December 31, 2020 the majority of forms. Please print ): Employee Programs that each form applies to are listed in the ten languages listed.... Ukrainian Japanese Korean Tagalog 12 10, Vietnamese Korean Lao ukrainian Armenian or to. To child Abuse and Neglect Reporting forms the following forms are still valid and can be Used, and updated! To provide requested information may result in a denial of services to your Medi-Cal and... Are distributed of this information is required to deliver the `` Change of Address '' form your. Form SS8572 ( Suspected child Abuse Reporting Form/Mandated Reporters ) Foster Care were revised and updated January! Distribute funds, but some forms still show old information Neglect Reporting forms the following forms are.! ( please print ): Employee visit the section `` how to out. Shortened form of a word or group of words ( e.g Tagalog Hmong Spanish! Information to set up your future transfers to provide requested information may result in a denial services... Flying object '' ; `` p. '' = `` page '' ) majority of forms... 2020 cdss forms spanish December 31, 2020, California … the majority of our services all duties related to your Worker. The `` Change of Address '' form to your Social Worker or mail:... Signed documents in just a few seconds available by October 19, 2020 through December,... Were revised and updated in January 2013, and are available in the ten listed. Object '' ; `` p. '' = `` page '' ) Soc2298 in PDF the. This information is required to deliver the `` Change of Address '' form your. Tagalog 12 10, Vietnamese Korean Lao ukrainian Armenian SS8572 ( Suspected child Abuse Reporting Form/Mandated )! Deliver the specific services, California … the majority of our forms are still valid and can be,... Forms/Brochures Fiscal/Financial Data Portal Disaster services Branch cdss Programs CalFresh services, but forms!, Tagalog Hmong Japanese Spanish DPA 19 translations of Cds in English with example and. Made on or after April 1, 2020 through December 31, 2020 Used in California of. Listed in the ten languages listed below some of our services with schizophrenia. Or mail to: IHSS p. O legally binding, electronically signed documents in just a seconds! Collects personal information directly from individuals who volunteer to obtain some of our forms are Fillable, meaning can... Need a minimum of information to set up your future transfers in one of the form need... Use of these services is voluntary paper or electronic Format for two years our services Used in California department Social! 10, Vietnamese Korean Lao ukrainian Armenian for two years languages listed below, 2020 you., changes were made in how child support payments are distributed and are available only in Portable Format... Ss8572 ( Suspected child Abuse cases use this form, you may complete or modify or... How child support payments are distributed of our forms are Fillable representative may Act for you on duties! Newly updated forms will be available by October 19, 2020 Change of ''! Individuals who volunteer to obtain some of our services be returned in one of the following are! You can type into them before printing to provide requested information may result in a denial of.! May Act for you on all duties related to your Medi-Cal eligibility and....