CalWORKs Program Supply Request Form - Rio Hondo College - riohondo 2026

1. Click ‘Get Form’ to open the CalWORKs Program Supply Request Form in the editor.
2. Begin by entering the date at the top of the form. This helps track your request accurately.
3. Fill in your name and case number in the designated fields. Ensure that all information is correct for processing.
4. Provide your address, including city, state, and zip code. This information is essential for communication regarding your request.
5. Enter your phone number to facilitate any follow-up questions from the CalWORKs department.
6. List the supplies needed by filling out each row under 'Supplies Needed.' Include course name, supply name, and cost for accurate budgeting.
7. Calculate subtotals, tax, and total costs for supplies as well as any other fees like health or college fees in their respective sections.
8. Read and sign the certification statement at the bottom of the form to confirm that all provided information is true and necessary for your program.

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