State and Federal Forms

All forms are also available at the Service Centers.  The links below will take you to the State of California Dept. of Social Services website.

• CW 61 Authorization to Release Medical Information (PDF, 55 KB)
• CW 61A Physical Capacities (PDF, 156 KB)
• CW 61B Mental Capacities (PDF, 22 KB)
• SAR 7 Eligibility Status Report for Cash Aid and CalFresh (PDF, 558 KB)
• SAWS 1 Application For Cash Aid, CalFresh, and/or Medi-Cal/State CMSP (PDF, 140 KB)

Spanish Translations

• CW 61 Authorization to Release Medical Information (PDF, 45 KB)
• CW 61A Physical Capacities (PDF, 164 KB)
• CW 61B Mental Capacities (PDF, 11 KB)
• SAR 7 Eligibility Status Report for Cash Aid and CalFresh (PDF, 133 KB)
• SAWS 1 Application For Cash Aid, CalFresh, and/or Medi-Cal/State CMSP (PDF, 64 KB)

• CalWORKs Cash Aid
• CalFresh (Food Stamps)
• CalWORKs Child Care
• Employment Assistance
• General Assistance
• Medi-Cal Health Benefits
• Cash Assistance Program for Immigrants