Social Service: Forms

 How do you apply?  

Your first visit to one of our offices will be to receive an application and a return date to be interviewed.  We are unable to determine eligibility or provide a return date over the phone.  The best suggested time to come in for your initial visit to pick-up your application and be provided a return date is after 11:00 a.m. and before 4:45 p.m., your eligibility will be determined by a worker after your interview.

 

CCSS Application English.pdf              CCSS Application Spanish.pdf                      
                           Long  Term Care application

W9 to be filled out by Property Owner Please click here