Contra Costa County On-line Forms & Publications Page.

To receive benefits, you may have to complete additional forms that are not available on this site. Your worker will assist you in determining what benefits, if any, you may qualify for, and will also be able to tell you if you need to complete additional forms and provide verifications in order to obtain benefits. The forms available on this site are provided for your convenience, and we hope you find these forms and instructions helpful.

Disclaimer: Completing and printing these forms does not constitute applying for benefits or a determination of eligibility for benefits. The completed forms must be mailed or taken to the district office in your area to be processed. The forms cannot be submitted via fax or email.

For additional information on how to open, fill out & print a form, open the FAQ (Frequently Asked Questions) page. For District Office dates and hours of operation open the Contact Us page.

Click the “Next” button to acknowledge that you understand the terms and conditions of this site, and to access the available forms.

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