Community Partner Resource Toolkit

Click on the links below to access Release of Information or Authorized Representative forms for CalFresh, Medi-Cal, and CalWORKs programs:

  • ABCDM 228 - Applicant's Authorization for Release of Information (CalFresh & CalWORKs)
  • MC 382 - Appointment of Authorized Representative (Medi-Cal)
  • MC 383 - Authorized Representative Standard Agreement for Organizations (Medi-Cal)
  • CSF 14 - Authorization for Release of Information Authorized Representative (CalFresh, Medi-Cal, & CalWORKs)

Click on the links below for informational flyers about CalFresh rule changes and food resources:

Visit LiveWellSD Community Toolkit for additional tools and resources about CalFresh and Medi-Cal rule changes

Click on the link below for information about BenefitsCal:

Click on the links below for informational flyers:

 

For information regarding the Live Well Mobile Office – including outreach schedule and online request form- please click on the following link: Live Well Mobile Office (livewellsd.org)

 

Click on the images below for flyers about County programs including Nutrition Assistance for Students and Seniors: