Riverside County Adult Services Division Programs Adult Protective Services (APS) Adult Protective Services (APS) responds to reports of abuse against older and dependent adults in Riverside County. For more information, or to apply for CAPI call (888) 960-4477. A - D | E - H| I - L | M - P | Q - T | U - Z. Don't know the number of the form you need? Text message or email asking for your personal EBT information. New benefit recipients are contacted by a protection plan company that says they are part of the state program. Read all the field labels carefully. Facebook Icon Instagram Icon Linkedin Icon Reddit Icon Twitter Icon Vimeo Icon Login Find A Job Four simple ways you can apply for CalFresh assistance: 1. Staff of the Parking Services Division monitor over 5,000 parking spaces in downtown Riverside. Ensures that a website is free of malware attacks. The following are Riverside Countys Commonly Used IHSS Forms. 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. If buying food to prepare at home is not an option, you may qualify for Riverside Countys Restaurant Meals Program. How do I apply for cash assistance in Riverside County? 120E, Indio, CA 92201 RIVERSIDE 9991 County Farm Rd., Riverside, CA 92503 MURRIETA 30755-G Auld Rd., Murrieta, CA 92563 RI-JV041 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address) FOR COURT USE ONLY TELEPHONE NO. They will direct you to your program representative. It is the policy of the County of Riverside to provide equal employment opportunity for all qualified persons. EBT customer service is available 24 hours a day, 7 days a week. Service, Contact When a referral is made to the Riverside County Department of Public Social Services under Probate Code 1513(b . Riverside County Attachment to Petition to Determine Succession of Real Property (Form DE-310) (pdf ) RI-PR101. Who is eligible for CalWORKS? All cardholders may use their EBT card at participating retailers with a Point-of-Sale (POS) device and Automated Teller Machines (ATM) for cash withdrawals displaying the Quest logo throughout California and across the country. If you need health care coverage, we offer Medi-Cal, a comprehensive health coverage for individuals and families who qualify. Sorry, you need to enable JavaScript to visit this website. For Forms beginning with the following letters click below: Problems with downloading forms? If you are a refugee without children who is not eligible for other cash aid, Refugee Cash Assistance may help. Stay vigilant against potential scams! Maximize your nutrition dollar with Market Match. Find your local participating farmers market, use your CalFresh benefits, and receive credit toward the purchase of fruits and vegetables. Health Insurance Premium Program (HIPP) Application. The program allows you to use your CalFresh benefits, or your EBT card, to buy meals from participating restaurants, locally and statewide! Celebrate Earth Day . We work for you, 24-hours a day, 7 days a week. Visit KeepMediCalCoverage.org for more details. April 21, 2023. Third-Party Applications are phone applications (apps) that allow the cardholder to obtain access to account information, such as the account balance and transaction history. To report suspected abuse, call our 24-hour hotline at 1-800-442-4918 or click here. Your EBT card and/or PIN are never needed to determine eligibility for any service. The Riverside County Department of Public Social Services (DPSS) is hiring multiple Eligibility Services Clerks located throughout Riverside County. For personal information access requests, send an email to CDSS' Public Inquiry and Response Unit [email protected] and/or call (916) 651-8848. Leave forms are available from your Department Representative and by clicking on Learn More. Parking Services Forms Parking Application & Permit Request Reasonable accommodations are available. With CalFresh, you can buy sufficient, healthy food to meet your households needs. Medi-Cal renewals begin June 2023, and mailing begins April 2023. How to edit riverside county dpss forms online. 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. 1-877-847-3663 Fill out Riverside County Dpss Forms in several minutes by following the instructions below: Send your Riverside County Dpss Forms in an electronic form when you are done with filling it out. Sorry, you need to enable JavaScript to visit this website. 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. We have several customer service locations across our 7,300 square-mile county where you can find help. Complete all the requested boxes (these are yellowish). **Due to browser constraints please download forms for full functionality. Copyright 2023 All Rights Reserved by The County of Riverside. To learn more, contact your HR Department Representative. Jobs. RFA Forms Department of Social Services Disaster Services Branch CDSS Programs Resource Family Approval Program Forms RFA Forms For finalized forms, please click here. Your data is well-protected, as we keep to the newest security standards. Get access to thousands of forms. If you or a loved one is an older or dependent adult, we want to partner with you. 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. Copyright 2023 All Rights Reserved by The County of Riverside. Us, Delete Please, see below for location details, contact numbers, and hours of operation. Offer of a free government cell phone or free gift cards and you are asked for your personal information, card number and/or PIN. The client decides which caregiver can meet their needs. We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use. be ready to get more Create this form in 5 minutes or less Get Form Video instructions and help with filling out and completing Fillable Online Building Permit Application Benton Form Find a suitable template on the Internet. USLegal fulfills industry-leading security and compliance standards. We have several customer service locations across our 7,300 square-mile county where you can find help. If you are eligible, a WIC card provides you the opportunity to purchase food to meet the nutritional needs of you and your infant or child. Visit KeepMediCalCoverage.org for more details. Are you pregnant, breastfeeding or a caretaker to an infant or child under age 5? Stay vigilant against potential scams! The program is the first of its kind in the Country and ensures that your children are fed both physically and mentally. We want to hear from you. Medi-Cal will NEVER require payment in the application or recertification process. If you suspect fraud call the DHCS Medi-Cal Fraud Hotline at 1-800-822-6222. Have income less than the CAPI standards. This page will include phone numbers for many different departments such as Administrative Services, Non-Emergency Child Services, The Adoption Team, and more. Call the Customer Service Automated Response Unit (ARU) at (877) 328-9677 to: Making healthy choices on a budget is easy with CalFresh Healthy Living. 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". Want more information or to apply? Keep you and your family covered! In-Home Supportive Services (IHSS) Public Authority If you suspect fraud call the DHCS Medi-Cal Fraud Hotline at 1-800-822-6222. Sorry, you need to enable JavaScript to visit this website. 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. Technology, Power of How do I apply for cash aid online in California? Find the template you need in the library of legal forms. If you need help finding affordable health coverage, consider Covered California. Prepare your docs in minutes using our easy step-by-step guideline: Find the Dpss Riverside County Csd 2004 Verification Of Dependent Medical And Dental Examinatios you want. 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 (. It is important to answer every question. 04/2022. For more consumer information on security please see the California Department of Justice's, " Security Awareness ". The Riverside County Department of Public Social Services (DPSS) provides services and assistance to protect and empower vulnerable people in our community. Childrens Services partners with families, communities, and agencies to help children thrive and find the best outcomes be it reunification with birth parents or finding permanent homes with adoptive families. Open it up with online editor and start adjusting. Health Insurance Premium Payment Program. Click on the links below to learn about eligibility, how you can apply and about our Restaurant Meals Program. Click on one of the following links to view forms whose form number begins with the corresponding. Get your online template and fill it in using progressive features. We believe in helping YOU take care of yourself and your family. The county welfare department is listed under the County Government Section of the telephone book. For those struggling with low income, we offer assistance programs for food, cash, housing and health coverage. All Topics No topics created yet We understand that our services and benefits are vital to you. Please click on any of the slides to view more information. Cathedral City - 68-615 Perez Rd Suite 9A Cathedral City, Ca 92234 (GAIN only) 68-625 Perez Rd Suite 4&5 Cathedral City, CA 92234. All Presumptive Eligibility forms for Pregnant Women will now be made available on our provider website for the following form (s): Want to speak to someone face-to-face? The advanced tools of the editor will guide you through the editable PDF template. Adult Protective Services (APS) responds to reports of abuse against older and dependent adults in Riverside County. All Rights Reserved by The County of Riverside, Restaurant Meals Program Vendor Information. In-Home Supportive Services (IHSS) is a home care program that prioritizes the safety of older adults, dependent adults, and minors in their own homes. 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. 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. Market Match is Californias food incentive program that matches CalFresh benefits you spend at farmers markets. If your family is receiving cash assistance, you may qualify for CalWORKs Child Care Assistance. Maximize your nutrition dollar with Market Match. Open it with online editor and begin altering. Handbook, Incorporation Find out more about EBT. Be taking care of at least one child who is under the age of 18 (or 19, if the child is expected to graduate from high school before their 19th birthday). RFA 01A (10/22) - Resource Family Application. The program provides cash aid to qualified refugees who are not eligible for CalWORKs or Supplemental Security Income (SSI). Access the most extensive library of templates available. We strive to provide exceptional customer service through outreach services. CalFresh Benefits Helpline The County and State will never text or call and ask for your EBT card and/or PIN. County of Los Angeles DPSS. SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE INDIO 46-200 Oasis St. Rm. Older adults and those with disabilities deserve the freedom to live safely in the comfort of their own home. The WIC program also provides tools and resources to keep your family healthy! 01/2021. All applicants will be considered without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender, gender identity, gender expression . : DEPARTMENT OF PUBLICSOCIALSERVICES (DPSS):Adoption of Resolution Number -2022-009, Authorizing the Director of the Department of Public Social Services (DPSS)toAccept the Housing Navigator ProgramRound#2 Allocation Award, andAuthorize . The division also provides enforcement activities through the issue of citations for violations of county parking ordinances. 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. Riverside County Attachment to Spousal or Domestic Partner Petition (Form DE-221) (pdf ) RI-PR100. Probate/Decedents/Estate Administration. To learn more about our services and partners visit the links below. Needy families may apply for CalWORKs at any office located in the county where they live. EFFECTIVE JULY 1, 2023 . Medi-Cal renewals begin June 2023, and mailing begins April 2023. For families who receive CalWORKs and have children, we offer the Housing Support Program! 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! Here's How, CW 2166 (11/21) - Multilingual Work Really Pays! This is the States health insurance marketplace from the Affordable Care Act. 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.
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