Verification of benefits dpss 2026

1. Click ‘Get Form’ to open the verification of benefits dpss in the editor.
2. In the Student Section, fill in your Name, Case No., Student ID, Address, and Phone No. Ensure all information is accurate for processing.
3. Sign and date the authorization section to allow DPSS/GAIN CALWORKs to share your benefit information with Long Beach City College-CalWORKs office.
4. Move to the DPSS Section where a representative will complete necessary details. Ensure they do not use any correction methods like white-out.
5. Provide information about any children on the case, including their gender and age, as well as GAIN Worker Information.
6. Indicate if you are receiving cash aid by checking 'Yes' or 'No' and complete the corresponding sections A or B as required.
7. Finally, ensure that both Long Beach City College and DPSS authorized officials sign the form before submission.

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