California Department of Social Services

This form serves as an order form for obtaining a Safely Surrendered Baby Kit in California. The kit typically includes essential items for the care and well-being of a surrendered baby, such as clothing, blankets, diapers, and information about available resources. The form collects necessary details from individuals or organizations interested in ordering the kit, including contact information and the desired quantity. Its purpose is to facilitate the distribution of these kits to support safe surrenders and ensure the well-being of surrendered babies.

The PUB 400C form provides detailed information to parents or individuals who may be considering utilizing the Safely Surrendered Baby Program in California. It outlines the rights and protections afforded to parents under the program, including confidentiality, immunity from prosecution, and the availability of medical care for the newborns. The form aims to ensure that individuals are fully informed about their rights and options when making decisions related to the program.

Similar to PUB 403, this form specifically targets farmers' markets in California. It provides posters in both English and Spanish that display the message "We Accept EBT" along with appropriate graphics and instructions. These posters are designed to be prominently displayed at farmers' market venues, informing EBT cardholders that they can use their benefits to purchase eligible food items at farmers' market vendors. The goal is to promote access to fresh and nutritious foods for individuals utilizing EBT benefits while supporting local farmers and markets.

Form PUB 463 provides detailed information and instructions regarding education travel reimbursement for eligible individuals under the purview of the California Department of Social Services. The form explains the eligibility criteria, required documentation, and the process for requesting reimbursement for authorized education-related travel expenses. It covers topics such as permissible expenses, submission deadlines, and reimbursement procedures.

This form offers information specifically aimed at transitioning foster youth regarding Supplemental Security Income (SSI) in California. It provides details about eligibility criteria, the application process, and the benefits available through the SSI program. The form may cover topics such as financial resources, medical benefits, housing assistance, educational support, and the rights and responsibilities of youth transitioning out of the foster care system.

Form PUB 421 is a detailed information booklet that provides comprehensive guidance on accessing Supplemental Security Income (SSI) benefits specifically tailored to youth with disabilities in California. It outlines the eligibility criteria, application process, and the benefits available through the SSI program for qualifying youth with disabilities. The form covers topics such as the definition of disability, financial and medical requirements, income and resource limits, and the rights and responsibilities of youth with disabilities applying for SSI benefits.

Similar to PUB 421, Form PUB 422 provides detailed instructions and information on accessing Supplemental Security Income (SSI) benefits specifically designed for foster youth with disabilities in California. It offers comprehensive guidance on eligibility criteria, the application process, and the benefits available through the SSI program for foster youth. The form addresses topics such as how foster care affects SSI eligibility, considerations for foster youth with disabilities, and the rights and responsibilities of foster youth applying for SSI benefits.

Form PUB 428 serves as an informational guide about the State and Federal Earned Income Tax Credit (EITC) program in California. It provides detailed explanations of the eligibility criteria, steps to claim the EITC, and the potential benefits individuals may receive through this tax credit. The form emphasizes the importance of the EITC in assisting low-income working individuals and families, encourages individuals to file tax returns to claim the credit, and provides instructions on accessing additional resources or assistance related to the EITC program.

Form PUB 521 is an informational document that provides details about the protective supervision services available under the In-Home Supportive Services (IHSS) program in California for adults. The form explains what protective supervision entails, the criteria for eligibility, and the process for requesting and receiving these services. It outlines the role of IHSS providers, the responsibilities of participants, and the support services offered to ensure the safety and well-being of adults who require protective supervision.

Form PUB 521L is the Spanish version of the informational document that provides details about protective supervision services for adults under the In-Home Supportive Services (IHSS) program in California. Like its English counterpart (PUB 521), it explains the concept of protective supervision, the eligibility criteria, and the processes involved in accessing these services. Its purpose is to inform Spanish-speaking individuals about the availability of protective supervision services through IHSS and guide them through the application and implementation process.