Southwestern College

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. 

County of San Diego—Health & Human Services Agency (HHSA)

Monthly Attendance Verification (ENGLISH)--116 HHSA (PDF)

Mileage Reimbursement Log--HHSA 27-347 (PDF)

WTW Activity Attendance Verification--HHSA 27-340 (PDF)--used for employment and/or related training, community service and miscellaneous activities.

State of California—Health & Human Services Agency (HHSA)

Job Search Contact Log--06-117 (PDF) 

For more State of California HHSA forms visit:

Last updated: 4/13/2018 11:10:21 AM