Follow the instructions listed there to download or print for your immediate use. If you experience any difficulties downloading, or encounter any dead links, please contact us.
Language Preference Forms Butte County Tulare County Sonoma County Mendocino County Advocates` Suggested Form
These forms can be used to capture information about the primary language spoken and read by applicants/recipients. The forms are from a variety of sources and contain different information. If you have any questions about the source of the forms or the design of the forms, contact your county liaison at the Civil Rights Unit.
Other Suggested Forms Used by Counties
These represent some forms used currently by San Joaquin County:
Ventura County's Cultural Competence Plan
Civil Rights Posters
Posters on nondiscrimination must be displayed by county welfare departments in all public waiting rooms and reception areas (Div. 21-107.211). CDSS ACIN 31-05 (June 15, 2005) explains how to order the CDSS nondiscrimination poster, “Equal Under the Law”, Pub 86.
The USDA nondiscrimination poster, “And Justice for All,” Form AD-475B, must be displayed in all Food Stamps certification and issuance offices.
To order the Pub 86 and the Form AD-475B, contact the CDSS Warehouse to order these required posters.