Client Concerns

To submit a concern, please fill out the form and hit the 'submit' button.

Subject:

Concern:

First Name:

Last Name:

Phone Number:

Social Security Number:

Benefit:

Medi-Cal

CalWORKs

CalFresh (formerly Food Stamps)

Cal-Learn

General Assistance

IHSS

Welfare-to-Work

Cash Assistance Program for Immigrants (CAPI)

Foster Care

Other

Note: All fields are required to submit a client concern. A valid SSN is also required.