STO CA 0034 (3/14) - California Department of Social Services - cdss ca-2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling in the 'Description of Warrant/Check' section. Enter the name of the payee and any co-payees, along with their addresses and the date paid by the State Treasurer.
  3. In the 'Statement of Facts' section, clearly state your ownership of the item and that the endorsement is a forgery. Ensure all statements are accurate as they will be certified under penalty of perjury.
  4. Proceed to fill in your name and signature in the 'Affiant-Co-Payee(s)' section. Remember, all three copies must be signed in ink.
  5. If applicable, have two disinterested witnesses sign each copy or opt for notarization on one copy. Ensure all signatures remain within designated borders.
  6. Finally, review all entries for accuracy before submitting all three copies to the State Controller’s Office at the provided address.

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Find Foster Care Services via the California Department of Social Services (CDSS) website. Select Foster Family Agencies on the CDSS website to begin.
The Community Care Licensing (CCL) Division in the Department of Social Services (DSS) oversees the licensure or certification of approximately 66,000 licensed community care facilities that include child care, childrens residential, adult and senior care facilities, and home care services.
Jennifer Troia - Director at California Department of Social Services | LinkedIn.
The California Department of Social Services (CDSS) is a state-supervised, county-administered system that provides oversight of programs that affect nearly 3 millions of Californias most vulnerable residentsfoster children and youth, children and families receiving aid through the California Work Opportunities and
Jennifer Troia Jennfer has more than 20 years of experience working on programs serving children, adults, and families and is deeply passionate about CDSS mission to serve, aid, and protect those most in need.
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The California Department of Social Services is one of 16 departments and offices in the California Health and Human Services Agency. The Department is comprised of more than 5,500 employees who are responsible for the oversight and administration of programs serving Californias most vulnerable residents.
The purpose of a clinical decision support system (CDSS) is to improve healthcare delivery by enhancing medical decisions with focused clinical knowledge, health data, and other patient information.

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