Option 1:

To apply by phone or request a paper application to be mailed to you, contact our Call Center at 1-800-223-8383 Monday - Friday 8:00 am - 5:00 pm.

Option 2:

  PRINT application for all public assistance programs:

      (English | Español | 中文 | русский | Tagalog | Tiếng Việt) 

**For CalFresh Only**

      (English | Español |  中文 | русский | Tagalog | Tiếng Việt) 

For ages 60+ and/or disabled individuals, please complete the application below:

     (English |Español |  中文 | русский | Tagalog | Tiếng Việt) 

   AND

  MAIL your completed application to: 

        400 Harbor Blvd. 

        Building B

        Belmont, CA 94002

     Regional Office Hours of Operation:

     Monday to Friday 8:00AM - 5:00PM   

OR

Option 3:

  FAX your completed application to: (650) 654-8885

Interpretive Services

Interpretive Services are used to ensure the Human Services Agency (HSA) provides fair and equitable services to applicants/recipients.

Interpretive Services focus on providing the same level of services to non-English speaking persons and individuals with disabilities as is provided to the applicant/recipient population at large.

California Relay Service call 1-800-735-2922

    TDD call 1-800-735-2929