Substance Abuse Counselor - Human Services Edu 2025

1. Click ‘Get Form’ to open the Substance Abuse Counselor - Human Services Edu document in the editor.
2. Begin by entering the facility name, address, and contact information in the designated fields. Ensure accuracy as this information is crucial for communication with the County Welfare Department.
3. Fill in the details of each resident receiving CalFresh benefits. This includes their first and last names, CalFresh case numbers, and current status (active, pending, etc.).
4. Record the facility entrance and exit dates for each resident. It’s important to keep track of these dates for compliance with reporting requirements.
5. Complete the section regarding benefit refunds. Indicate any amounts that need to be returned upon a resident's exit from your facility.
6. Finally, ensure that an authorized representative signs and dates the report at the bottom of the form. This signature confirms that all provided information is accurate.

Start using our platform today to streamline your document editing and submission process for free!