Information contra costa homeless court 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Authorization to Share Protected Personal Information' section. Ensure you provide your name, signature, and date to authorize sharing your personal information.
3. In the 'Applicant Information' section, enter your first name, middle initial, last name, phone number, date of birth, California Driver License number, and Social Security number. Indicate if you are currently homeless and if you were homeless when you received your tickets.
4. Select your gender from the options provided and fill in your last permanent zip code. Specify the city where you slept last night from the list given.
5. Complete the 'Living Situation Last Night' section by selecting the appropriate option that describes your living conditions.
6. Fill out the 'Ethnicity' and 'What BEST describes you?' sections by checking all applicable boxes.
7. Provide details about your household configuration and any disabilities in the respective sections.
8. Finally, complete the 'Recommending Caseworker Information' section with your caseworker's details including their name, organization, address, phone number, and email.

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