COUNTY OF RIVERSIDE . Visit KeepMediCalCoverage.org for more details. News & Events . The client decides which caregiver can meet their needs. Generally, you may be eligible for CalFresh if you: Using CalFresh Benefits to Eat and Stay Healthy. Security Awareness. 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. RFA Forms Department of Social Services Disaster Services Branch CDSS Programs Resource Family Approval Program Forms RFA Forms For finalized forms, please click here. Riverside County Department of Public Social Services: Moreno Valley-In Medi-Cal Forms - California Keep you and your family covered! By Mail Call 1-877-410-8827 Monday - Friday between the hours of 8:00 AM - 5:00 PM and request an application be sent to you by mail, or **Due to browser constraints please download forms for full functionality. CAPI payment amounts vary depending on a person's marital status, living arrangements and other income. The videos on this page explain how self-service can help you navigate the online system, upload required documents and connect with your caseworker. RFA 03 (8/22) - Resource Family Home Health And Safety Assessment Checklist. ATTACHMENT C. Government TIN Form Page 2of3 10 . Learn about how to shop and budget your food purchases, ensure your food is safe, plan meals and cook healthy using your CalFresh benefits. CAPI is a 100 percent state-funded program designed to provide monthly cash benefits to aged, blind, and disabled non-citizens who are ineligible for SSI/SSP solely due to their immigrant status. Have income less than the CAPI standards. MCED Forms MC 200 - California Four simple ways you can apply for CalFresh assistance: 1. County of Riverside hiring Eligibility Services Clerk in Rubidoux Want to speak to someone face-to-face? Planning, Wills Get your online template and fill it in using progressive features. All Presumptive Eligibility forms for Pregnant Women will now be made available on our provider website for the following form (s): Schools are now a beacon for healthy beginnings. 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. presented on Judicial Council form DE-122 / GC-322: (1) Examination Concerning Assets of Estate under Probate Code 2616 et . How do I apply for cash assistance in Riverside County? In the form included, fill out some information about yourself, and include details on how we can assist. Be a U.S. citizen or meet residency requirements. Need to apply for food, cash or health coverage assistance but dont want to wait in line? Cash Assistance Program for Immigrants (CAPI), Low Income Utility Resources for Riverside County, Office on Aging Hospital Liaison Services, Application for In-Home Supportive Services - SOC 295, Recipient Responsibility Checklist - SOC 332, Recipient Designation of Provider - SOC 426A, Provider Direct Deposit Enrollment - SOC 829, Recipient Request for Provider Assigned Hours - SOC 838, Recipient or Provider Change of Address and/or Telephone Number - SOC 840, Provider Workweek and Travel Time Agreement - SOC 2255, Provider Live-In Certification - SOC 2298, Provider Paid Sick Leave Request - SOC 2302, Meet all other SSI/SSP eligibility criteria except for immigration status, Have resources below the allowable limits of $2,000 for an individual or $3,000 for a couple, and, Be a non-citizen and meet the immigration status criteria in effect for SSI/SSP as of 8/21/96, Be ineligible for SSI/SSP solely due to immigration status. . Home | County of Riverside, CA 3939 Thirteenth Street Riverside, California 92501. Riverside County Attachment to Petition to Determine Succession of Real Property (Form DE-310) (pdf ) RI-PR101. We offer access to food, housing, cash, child care, employment and health coverage assistance. The county welfare department is listed under the County Government Section of the telephone book. All Rights Reserved by The County of Riverside, Restaurant Meals Program Vendor Information. If you have received overpayments and/or over-issuances from CalFresh, CalWORKs, Foster Care, or other Social Services, you should contact the Recovery Collections Unit. The program provides cash aid to qualified refugees who are not eligible for CalWORKs or Supplemental Security Income (SSI). PDF SUSPECTED CHILD ABUSE REPORT To Be Completed by Mandated Child Abuse Want more information or to apply? The advanced tools of the editor will guide you through the editable PDF template. A copy of your ID. QPI ensures every child removed from their home is cared for by a skilled, nurturing foster family. Click here for a list of locations that accept EBT cards. DPSS Office Locations | Riverside County Department of Public Social We will get back to your as soon as we possibly can! The easiest and quickest way to apply for CalWORKs, CalFresh and/or Medi-Cal is online at www.C4Yourself.com. CalWORKs is designed to give families with children a way to meet their basic living needs. Us, Delete Provides programs and services to protect children and adults from abuse and/or neglect. 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. As a result, most immigrants who were not receiving SSI/SSP in August 1996 are no longer eligible for SSI/SSP. Instructions for completing the application are provided. Murrieta Office. Has at least one parent who is unemployed, disabled, gone (not around to care for the child), in jail, or has died. Home | Riverside County Department of Public Social Services 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. Therefore, we take fraud and abuse seriously. Agencies and Departments | County of Riverside, CA How do I apply for medical in Riverside County? We make that possible through giving you access to our feature-rich editor capable of transforming/correcting a document?s original textual content, adding unique fields, and e-signing. A one-on-one connection can help people quickly find programs and services that improve their health, safety, and wellbeing. PDF APPLICATION FOR CALFRESH BENEFITS - Los Angeles County, California The welfare reform act of 1996 (P.L. We work for you, 24-hours a day, 7 days a week. Riverside County offers an abundance of places to go and things to do. PDF Superior Court of California, County of Riverside IHSS Public Authority The Public Authority manages a public registry that matches Riverside County Adult Services clients with a trusted in-home caregiver. DPSS Office Locations | Riverside County Department of Public Social Services DPSS Office Locations DPSS Office Locations Want to speak to someone face-to-face? LAW ENFORCEMENT COUNTY PROBATION AGENCY COUNTY WELFARE / CPS (Child Protective Services) ADDRESS Street City Zip DATE/TIME OF PHONE CALL OFFICIAL CONTACTED - TITLE TELEPHONE ( ) C. VICTIM One report per victim . Probate/Decedents/Estate Administration. Both bi-lingual and non-bi-lingual applicants . Department of Public Social Services (DPSS) website. Thank you for. Your EBT card and/or PIN are never needed to determine eligibility for any service. The program allows you to use your CalFresh benefits, or your EBT card, to buy meals from participating restaurants, locally and statewide! RFA 02 (3/22) - Resource Family Background Checklist. For more information about APS, visit Adult Abuse. Have a physician or medical professional determine that you are unable to remain safely in your own home without IHSS. Californias new Universal Meals program offers free breakfast and lunch to all school children. Technology, Power of 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. Get money If approved, you will get an EBT card for groceries within 10 days. 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 (. PDF Superior Court of California County of Riverside Proposed Local Rule A cardholder calls the number, and then is asked for personal information, account number and a PIN. 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. If you suspect fraud call the DHCS Medi-Cal Fraud Hotline at 1-800-822-6222. Proof of any income. In-home caregivers earn $15.50 an hour in Riverside County. Parking Services Forms Parking Application & Permit Request Who is eligible for CalWORKS? We want to hear from you. Check the entire document to make sure you have filled in all the information and no changes are required. Offer of a free government cell phone or free gift cards and you are asked for your personal information, card number and/or PIN. Apply for Benefits | Riverside County Department of Public Social Services Buy groceries EBT cards work in most food stores and farmers' markets. : FAX NO. If your family is receiving cash assistance, you may qualify for CalWORKs Child Care Assistance. Making healthy choices on a budget is easy with CalFresh Healthy Living. The IHSS Public Authority meticulously matches the consumer with a caregiver they can trust. RFA Forms Medi-Cal will NEVER require payment in the application or recertification process. Ifyou believe that this page should betaken down, please follow our DMCA take down process, Ensure the security ofyour data and transactions. To learn more about our services and partners visit the links below. Access the most extensive library of templates available. PDF Notice of Personal Chiropractic or Personal Acupuncturist By Phone Call 1-877-410-8827 4. Medi-Cal renewals begin June 2023, and mailing begins April 2023. USLegal fulfills industry-leading security and compliance standards. Download a copy of the Suspected Child Abuse Report form. TheRiverside County Department of Public Social Services(DPSS) is comprised of employees who work collectively and in partnership with community-based organizations to serve the needs of the community.The Riverside County Department of Public Social Services (DPSS) provides services and assistance to protect and empower vulnerable people in our . Outside the Riverside County area, call Child Help National Abuse Hotline at 1-800-422-4453. . 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. Medi-Cal will NEVER require payment in the application or recertification process. COUNTY OF RIVERSIDE, STATE OF CALIFORNIA ITEM:3.40 . USLegal received the following as compared to 9 other form sites. Click on the links below to learn about eligibility, how you can apply and about our Restaurant Meals Program. Health Insurance Premium Payment Program. riverside county department of social services photos, Identity TITLE 7 - PROBATE . Notice to Terminating Employees. This individual would need: You could receive your CalFresh benefits as quickly as three days if your household: Note: Interpretation services are available in all languages. Visit KeepMediCalCoverage.org for more details. 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! Give the application to the County in person, by mail, by fax, or online. Your data is well-protected, as we keep to the newest security standards. 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. Riverside County Library System celebrates National Library Week April 23-29 If you suspect fraud call the DHCS Medi-Cal Fraud Hotline at 1-800-822-6222.