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sd COUNTY OFFICE FORMS

The following forms are San Diego County printable forms. 

• Mileage Reimbursement Log- 27-347 HHSA
• Job Search Contact Log- 06-117 HHSA
• Monthly Attendance Verification (English) –116 HHSA
• Monthly Attendance Verification (Spanish) –116 HHSA
• Monthly Attendance Verification (Arabic) –116 HHSA
• Monthly Attendance Verification (Vietnamese)- 116 HHSA
• Notice of Action—SAMPLE
• CalWORKs Employment Services Referral- 27-114 HHSA (WTW)

Community Resources

• Affordable Housing Resource Guide (PDF)
• COVID 19 Emergency Rental Assistant Program (PDF)
• CalFresh—Brochure (PDF)
• CalFresh (SNAP) Benefits Replacement (PDF)
• Crisis-Domestic Violence Homeless Prevention Services For CalWORKS Recipients(PDF)
• Income_limits CalFresh(PDF)
• SD Housing Single-Room Occupancy Resource (PDF)
• Legal Aid SSI Advocacy Program for Children (Engl) (PDF)
• Legal Aid SSI Advocacy Program for Children (Span) (PDF)
• SSI--Deeming Eligibility Chart for Children (Eng) (PDF)
• SSI--Deeming Eligibility Chart for Children (Span) (PDF)

community Resource Links

• Welfare-To-Work Frequently Asked Q’s (FAQ’S)
  https://www.sandiegocounty.gov/content/dam/sdc/hhsa/programs/ssp/calworks/Documents/WTW%20FAQs.pdf
• Health & Human Services Agency Information:
  https://www.sandiegocounty.gov/hhsa/
• Find out if you’re eligible for CalFresh by applying online:
  https://students.getcalfresh.org/ or https://www.mybenefitscalwin.org/
• Schedule an appointment for application assistance:
  www.2enrollme.org
• CalWORKs Program Guide
  http://hhsa-pg.sdcounty.ca.gov/calworks/default.asp?Guide=CW
• Legal Aid Society of San Diego (Provides free legal assistance)
  https://www.lassd.org/