Skip to page body Home About SWC Admissions Academic Programs Student Services Schools & Centers Faculty & Staff

As a CalWORKs participant, you are introduced to County requirements, new forms, different representatives, and agencies.  You will find yourself spending a lot of time filling out and requesting forms.  It is natural to feel overwhelmed because there are a lot of new things to remember.  In a matter of time, all of this will be second nature to you, so hang in there! 


For your convenience, we have provided you with access to some of the CalWORKs forms you will need on a monthly, quarterly, or possibly on a one-time basis.  Further, below you will find a blank fax cover sheet.  You are welcome to use the CalWORKs Program fax machine for any welfare-to-work correspondence to your ETA/ECM.


Fax Cover Sheet--Blank (PDF)


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

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


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: 10/10/2014 9:31:30 AM