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Employment Services Division

5730 Packard Ave., Marysville, CA 95901 - (530) 749-6311

One Stop Center - 1114 Yuba St., Marysville, CA 95901 - (530) 749-4800



CalWORKs Forms

 

Click on any link below to open and print the form.

 

 

  • New Job Flyer (YCHHSD 68)

  • Examples of Job Search Activities (YCHHSD 78A)

  • Job Search Log (YCHHSD 78)

  • Monthly Attendance Form - Instructions and Sample (YCHHSD 189A)

  • Monthly Attendance Form (YCHHSD 189)

  • General Affidavit (YCHHSD 192A)

  • Plan to Stop a Welfare to Work Sanction (WTW 29)

  • Create a Calendar

  • Other forms

  • Business Card Template

 

 

    Contact your Social Worker with any questions or concerns about your case. 

 
 

Yuba County Employment Services Division • 1114 Yuba St., Marysville, CA 95901 • (530)749-4800 • Fax (530) 749-4987

 

General Comments/Contact

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