Publications

WE ARE NAPA COUNTY

Self Sufficiency Services Health and Human Services Agency

latina woman on computer

 

 Publications

CalWORKs

SAWS 2A SAR – Rights, Responsibilities and Other Important Information 
English  Spanish 

SAR 7 – Semi-Annual Eligibility Status Report
English  Spanish  

SAR 7 Addendum - Instructions and Penalties
English  Spanish  

AR3 – Mid-Year Status Report for CalWORKs and CalFresh
English  Spanish  

SAR 3 - Mid-Year Status Report for CalWORKs and CalFresh
English  Spanish  

CW 8A – Statement of Facts to Add a Child Under 16
English  Spanish  

NVRA Voter Preference Form
English  Spanish  

CalFresh

SAWS 2A SAR – Rights, Responsibilities and Other Important Information 
English  Spanish  

SAR 7 – Semi-Annual Eligibility Status Report
 English   Spanish  

SAR 7 Addendum - Instructions and Penalties
English  Spanish  

SAR 3 - Mid-Year Status Report for CalWORKs and CalFresh
English  Spanish  

CW 8A – Statement of Facts to Add a Child Under 16 
English      Spanish  

NVRA Voter Preference Form 
English      Spanish

CF 377.5 – CalFresh Household Change Report
English   Spanish

Medi-Cal / CMSP

Application for Medi-Cal and Covered California health care options
All languages

NVRA Voter Preference Form 
English      Spanish

MC 219 – Important Information for Persons Requesting Medi-Cal
English      Spanish 

Welfare-to-Work

WTW 1 – WTW Plan Rights and Responsibilities
English      Spanish

Time and Attendance Sheet (coming soon)
English/Spanish

Employer Contact Log (coming soon)
English/Spanish

CW 2186A – Exemption Request Form
English      Spanish

WTW 31 – Request to Stop a WTW Sanction
English      Spanish

General Assistance

Employer Contact Log (coming soon)
English/Spanish