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- What is your full name?
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- What is your date of birth?
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- What is a phone number where we can reach you?
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- What is your current or most recent home address?
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- Who lives with you? Please give names and ages.
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What you may qualify for
A county worker decides what you actually get.
CalWORKs Homeless AssistanceWorth asking about
- If you lose your housing, you may qualify for Homeless Assistance.
CalFresh (food benefits)Worth asking about
- You may qualify for CalFresh food benefits to help buy food.
CalWORKs Cash AidWorth asking about
- If you have children or are pregnant and have low income, you may qualify for CalWORKs Cash Aid.
Documents to bring
- Photo ID (driver's license, state ID, or passport)
- Social Security card or number for each person applying
- Proof of any income (pay stubs, award letters)
- Proof of your money and resources (recent bank statements)
Still missing (48)
- CW 42: What is your full name?
- CW 42: What is a phone number where we can reach you?
- CW 42: What is your Social Security Number (SSN)?
- CW 42: What is your date of birth?
- CW 42: What is your current or most recent home address?
- CW 42: Do you currently get Cash Aid (CalWORKs)?
- CW 42: Which county gives you Cash Aid?
- CW 42: Have you ever received Homeless Assistance before?
- CW 42: Does anyone in your home earn money from a job, training, or any other source?
- CW 42: How much money do you have right now in cash, checking, and savings?
- CW 42: If you get Homeless Assistance money, who should it be paid to?
- CW 42: Where are you staying right now?
Your forms
CW 42
Statement of Facts — Homeless Assistance
Not startedOpen
CW 74
Permanent Housing Search Document
Not startedOpen
SAWS 1
Application for Cash Aid, CalFresh, and/or Medi-Cal
Not startedOpen
SAWS 2 PLUS
Application for CalFresh, Cash Aid, and/or Medi-Cal
Not startedOpen
SAWS 2A SAR
Rights, Responsibilities and Other Important Information
Not startedOpen
SCD 508
Voter Registration
Not startedOpen