Care Forms

CARE Forms

Below are various forms and flyers CARE students should access on a regular basis. Please read the description underneath each icon to help you select the correct document(s). If you have any questions or need a hard copies of any of the documents below, please feel free to contact or stop by the CARE office. 

Agency Cert

Agency Certification

Every July 1st, new and continuing students must complete a new Agency Certification each academic year. This form must be completed by your GAIN, eligbilty, or case worker or the DPSS customer service center. 


Important Dates

Important Dates & Resources (Fall 2018)

All CARE students have access to supplemental resources throughout the semester. Review the Important Dates and Resources flyer to learn how and when you can receive CARE services.



Mutual Responsibility Contract (MRC)

Each semester, CARE Students are required to comply with standards as outlined in the MRC. Please review the MRC as often as needed to verify your CARE eligilbility.


Free family law

Harriett Buhai Center for Family Law

All interested EOPS, CARE, or CalWORKs must complete an pre-screening form and be cleared before making an appointment. If you already have a case open with the Harriett Buhai Center, please contact them directly for case assistance. 


Make sure to check EOPS Important Forms regularly to stay up-to-date with EOPS important forms and deadlines.