Be a U.S. citizen or meet residency requirements. Theft, Personal An EBT (Electronic Benefit Transfer) card is the benefit delivery system that allows CalFresh and cash assistance recipients to access their food and cash benefits, much like a debit card. Enjoy smart fillable fields and interactivity. Find resources to support your search for an exciting new career. Click on the links below to learn about eligibility, how you can apply and about our Restaurant Meals Program. For more information about APS, visit Adult Abuse. Other Contact Numbers, Copyright 2023 California Department of Social Services, CF 1 (10/14) - Notice To All CalFresh Recipients - Important Please Read, CF 10 (12/13) - Dependent Care Cost Affidavit, CF 11 (8/15) ENG/SP - Notice To All CalFresh Recipients Important - Please Read, CF 18 ENG/SP (2/14) - Important Information, CF 20 (2/14) - You Do Not Owe Anything For Receiving CalFresh Benefits, CF 24 (7/12) - CalFresh Program Request For Policy/Regulation Interpretation, 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 (4/15) - CalFresh Supplemental Form For Special Medical Deductions, CF 32 (6/13) - CalFresh Request For Contact, CF 37 (7/15) - Recertification For CalFresh Benefits, CF 215 (9/14) - CalFresh Notification Of Inter-County Transfer, CF 286 SAR (12/15) - CalFresh Budget Worksheet/Semi-Annual Reporting Households, CF 303 (2/14) - Replacement Affidavit/Authorization, CF 377.1 (9/15) - Notice Of Approval For CalFresh Benefits, CF 377.2 (10/13) - CalFresh Notice Of Expiration Of Certification, CF 377.2A (12/13) -CalFresh Notice Of Expiration Of Certification For Households In Which All Adults Are Elderly Or Disabled, CF 377.2A1 (4/14) - Important Information For Households In Which All Adults Are Elderly Or Disabled With No Earned Income, 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 377.4 CR (1/14) -CalFresh Notice Of Change For Change Reporting Households, 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 Disqualification, CF 377.7B (2/14) - CalFresh Overissuance Notice For Inadvertent Household Errors (IHE) Only, CF 377.7B1 (2/14) - CalFresh Repayment Notice For Inadvertent Household Errors Only Final Notice, 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 377.7D3 (1/14) - CalFresh Overissuance Notice For Administrative Errors (AE), CF 377.7E1 (1/14) - CalFresh Repayment Agreement For Administrative Errors Only, CF 377.9 (2/14) - Notice Of Back CalFresh Benefits, 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 478 (2/14) - Disqualification Consent Agreement CalFresh Program, CF 842 (2/14) - Claim Determination Worksheet, CF 1239(5/13) - CalFresh Notice Of Approval/Denial/Termination Transitional Benefits, CalFresh Guidelines Insert for Brochures (. We work for you, 24-hours a day, 7 days a week. Check your BenefitsCal.com account to see the month of your renewal, and make sure your contact information, such as changes to your name, address, phone number, and email address, is correct. Riverside County Department of Public Social Services Apply For Benefits Cash Assistance Food & Nutrition Health Care Children and Families Job Services Housing Help Seniors & Disabilities Community Outreach Doing Business About Us Other Resources Announcements Please click on any of the slides to view more information 24 Hour Hotlines Instructions for completing the application are provided. Who is eligible for CalWORKS? Fill out Riverside County Dpss Forms in several minutes by following the instructions below: Find the template you need in the library of legal forms. Here's How, CW 2184 (8/16) - CalWORKs 48-Month Time Limit, CW 2184 (4/21) - CalWORKs 60-Month Time Limit, CW 2186A (12/12) - CalWORKs Exemption Request Form, CW 2186A (4/21) - CalWORKs Exemption Request Form, CW 2186B (12/12) - CalWORKs Exemption Determination, CW 2186B (4/21) - CalWORKs Exemption Determination, CW 2187 (4/11) - YOUR CalWORKs 48-Month Time Limit, CW 2187 (4/21) - Your CalWORKs 60-Month Time Limit, CW 2188 (4/02) - Verification of Aid for 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), CW 2190A (4/16) - CalWORKs 48-Month Time Limit Extender Request Form, CW 2190A (4/21) - CalWORKs 60-Month Time Limit Extender Request Form, CW 2190B (5/16) - CalWORKs 48-Month Time Limit Extender Determination Form, CW 2190B (4/21) - CalWORKs 60-Month Time Limit Extender Determination Form, CW 2191 (6/11) - Time On Aid Verification For CalWORKs/TANF 48-Month Time Limits, CW 2191 (4/21) - Time On Aid Verification For CalWORKs/TANF 60-Month Time Limits, CW 2192 (6/11) - Tracking Non-California TANF Assistance For Time Limits, CW 2192 (4/21) - Tracking Non-California TANF Assistance For Time Limits, CW 2200 (5/22) - Request For Verification, CW 2200LP (5/22) - Request For Verification, CW 2201 (6/09) - Unemployment Insurance Benefits Referral Form, CW 2202W (9/15) - CalWORKs Program Request For Policy Interpretation, 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 (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), CW 2218 (6/21) - 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), CW 2218 (3/22) - 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), CW 2219 (5/16) Application For California Work Opportunity And Responsibility To Kids (CalWORKs) (Non-Needy Caretaker Relative With Relative Foster Child), CW 2222 (11/17) - CalWORKs Employment Bureau Request For Policy Interpretation, 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 Program (HVP), DFA 377.7A (4/21) - 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 - Intentional Program Violation (IPV), 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 Agreement For An Intentional Program Violation (IPV) Only, DFA 377.10 (6/04) - Food Stamp Notice Of Discontinuance, DFA 874 (10/00) - Statewide Intercounty Lost Warrant Replacement Affidavit, DPA 13 (7/99) - Request For State Hearing Before The State Department Of Social Services, DPA 19 (6/22) - Appointment OfAuthorized 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 (4/20) - County Allegation Of Intentional Program Violation/Statement Of Position (Request For An Administrative Disqualification Hearing), DPA 436B (8/18) - County Information Letter, DPA 479 (3/22) - Administrative Disqualification Hearing Waiver - CalWORKs/CalFresh, DPA 481 (4/02) - County Report of Compliance Transmittal, DPA 487 (5/07) - Request For Access To Protected Health Information, DPA 488 (6/08) - Intentional Program Violation (IPV) Deletion Request Form, DPA 489 (8/18) - Intentional Program Violation (IPV) Online System Request For Adding/Deleting /Modifying A User, DPS 249 (12/10) - Welfare Intercept System County Transaction Document, DPS 524 (3/00) - Disqualified Recipient Report, DPS 526 (4/99) - IEVS/Payment Verification System County Response Document, DPS 528 (4/01) - IEVS/Deceased Persons Match - County Response Document. Get Form How to create an eSignature for the apply for general relief online For families who receive CalWORKs and have children, we offer the Housing Support Program! Your EBT card and/or PIN are never needed to determine eligibility for any service. CAPI is a 100 percent state-funded program designed to provide monthly cash benefits to aged, blind, and disabled non-citizens who are ineligible for SSI/SSP solely due to their immigrant status. CAPI payment amounts vary depending on a person's marital status, living arrangements and other income. SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE INDIO 46-200 Oasis St. Rm. It is the policy of the County of Riverside to provide equal employment opportunity for all qualified persons. DPSS Programs | Riverside County Department of Public Social Services DPSS Programs About Us We are proud to announce that we help 1 million people in Riverside County each year by offering vital services and programs that support and protect the health, safety, and wellbeing of children, adults, and families in our communities. For those struggling with low income, we offer assistance programs for food, cash, housing and health coverage. By Phone Call 1-877-410-8827 4. Through strategic partnerships with departments, we attract and retain a motivated and skilled workforce by championing a Great Place to Work so that employees are committed to delivering valuable and effective services to the people of Riverside County. RFA Forms Department of Social Services Disaster Services Branch CDSS Programs Resource Family Approval Program Forms RFA Forms For finalized forms, please click here. This service is completely free. You can use your EBT card to buy food items at: For information on how and where to use your EBT card, click on the following links: How to Use Your EBT Card, California Electronic Benefit Transfer (EBT) Card Brochure, How to Use Your EBT Card to Make a Purchase, How to Use Your EBT Card to Buy Food, Enjoy Surcharge-Free ATMs Nationwide, BE AWARE OF SCAMS AND THIRD-PARTY APPLICATIONS. All Rights Reserved by The County of Riverside, Restaurant Meals Program Vendor Information. Offer of a free government cell phone or free gift cards and you are asked for your personal information, card number and/or PIN. Spanish, Localized To be eligible for CalWORKs, a family must have a child who: Is under age 18 (or under age 19 if the child is currently attending high school or vocational school), and. Quality Assurance Fee Program. We offer access to food, housing, cash, child care, employment and health coverage assistance. Apply for Benefits | Riverside County Department of Public Social Services Apply for Benefits Apply for Benefits We believe in helping YOU take care of yourself and your family. Stay vigilant against potential scams! Riverside County DPSS office locations. How to edit riverside county dpss forms online. Are you pregnant, breastfeeding or a caretaker to an infant or child under age 5? While you work to provide for your family, you need peace of mind that your children are receiving quality care. Find out more about EBT. For translated forms, please click here. Update! Four simple ways you can apply for CalFresh assistance: 1. For questions, you can call the Public Authority at (888) 960-4477or click here to connect with the Public Authority. All applicants will be considered without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender, gender identity, gender expression . QPI ensures every child removed from their home is cared for by a skilled, nurturing foster family. When a referral is made to the Riverside County Department of Public Social Services under Probate Code 1513(b . For more information, or to apply for CAPI call (888) 960-4477. Handbook, Incorporation Helping you and your family be self-sufficient. We believe in your right to dignity, to self-determination, and to live with as much independence as possible. Use a check mark to point the choice where . Want more information or to apply? We are to help you too! File (form JV-570) to the court, you must personally, or by first-class mail, . Cash Assistance Program for Immigrants (CAPI), Low Income Utility Resources for Riverside County, Office on Aging Hospital Liaison Services, Application for In-Home Supportive Services - SOC 295, Recipient Responsibility Checklist - SOC 332, Recipient Designation of Provider - SOC 426A, Provider Direct Deposit Enrollment - SOC 829, Recipient Request for Provider Assigned Hours - SOC 838, Recipient or Provider Change of Address and/or Telephone Number - SOC 840, Provider Workweek and Travel Time Agreement - SOC 2255, Provider Live-In Certification - SOC 2298, Provider Paid Sick Leave Request - SOC 2302, Meet all other SSI/SSP eligibility criteria except for immigration status, Have resources below the allowable limits of $2,000 for an individual or $3,000 for a couple, and, Be a non-citizen and meet the immigration status criteria in effect for SSI/SSP as of 8/21/96, Be ineligible for SSI/SSP solely due to immigration status. Here's How, CW 2166 (12/20) - Multilingual Work Really Pays! April 21, 2023. Guarantees that a business meets BBB accreditation standards in the US and Canada. Making healthy choices on a budget is easy with CalFresh Healthy Living. Our CalFresh Employment & Training Program provides free services for personalized one-on-one career/employment counseling, assistance with resume writing, interview and job searching skills, supportive services and job leads, and job fair information. All Rights Reserved by The County of Riverside, Restaurant Meals Program Vendor Information, Cash Assistance Program for Immigrants (CAPI), Meet Medi-Cal eligibility requirements in the state of California, Have a disability which is expected to continue longer than 12 months. If you or a loved one is an older or dependent adult, we want to partner with you. CAPI payment standards are $10 less than SSI/SSP payment standards ($20 for a couple). The County of Riverside is an Equal Opportunity Employer. We understand that our services and benefits are vital to you. Have income less than the CAPI standards. Sorry, you need to enable JavaScript to visit this website. You must at least give the County your name, address, and signature(question 1 on page 1) to begin the application process. Reasonable accommodations are available. USLegal has been awarded the TopTenREVIEWS Gold Award 9 years in a row as the most comprehensive and helpful online legal forms services on the market today. The Riverside County Department of Public Social Services (DPSS) is hiring multiple Eligibility Services Clerks located throughout Riverside County. We invite open-hearted adults to join our village as either adoptive or foster parents. Check your BenefitsCal.com account to see the month of your renewal, and make sure your contact information, such as changes to your name, address, phone number, and email address, is correct. This individual would need: You could receive your CalFresh benefits as quickly as three days if your household: Note: Interpretation services are available in all languages. Has at least one parent who is unemployed, disabled, gone (not around to care for the child), in jail, or has died. and get a STEP 1: ACCESS THE DPSS WEBSITE For computers: Enter website address: dpssbenefits.lacounty.gov For a mobile device: Note: Your mobile device must have a QR Code Reader to scan the code. Check out the SNAP-Ed Nutrition Education Materials from the U.S. Department of Agriculture. Your kids are your priority. 38670 Sky Canyon Drive, Suite 200 . TopTenReviews wrote "there is such an extensive range of documents covering so many topics that it is unlikely you would need to look anywhere else". Here's How, CW 2166 (4/21) - Multilingual Work Really Pays! The following are Riverside Countys Commonly Used IHSS Forms. 1. Medi-Cal renewals begin June 2023, and mailing begins April 2023. Riverside County Department of Public Social Services 1-800-665-KIDS (5437) Foster/Adoption Resource Family Program Orientation Packet Welcome Future Foster/Adoptive Resource Family! Medi-Cal renewals begin June 2023, and mailing begins April 2023. Copyright 2023 All Rights Reserved by The County of Riverside. We understand that our services and benefits are vital to you. The way to fill out the DSS los angeles form on the web: To start the document, utilize the Fill camp; Sign Online button or tick the preview image of the blank.

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