For your convenience, we have provided you with access to a few of the CalWORKs forms you will need on a monthly, quarterly or possibly on a one-time basis.
Monthly Attendance Verification (ENGLISH)--116 HHSA (PDF)
Monthly Attendance Verification (SPANISH)- 116 HHSA (PDF)
Mileage Reimbursement Log--HHSA 27-347 (PDF)
WTW Activity Attendance Verification--HHSA 27-340 (PDF)
Job Search Contact Log--06-117 (PDF)
For more HHSA forms visit: www.cdss.ca.gov/cdssweb/PG169.htm
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