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Get Foster Elgibility Certification Form

This section call the California Department of Social Services at (916) 651-7465. Send this form by mail, fax or as a scanned email attachment to: CSAC- California Chafee ETV Program PO Box 419029 Rancho Cordova, CA 95741-9029 FAX: (916) 464-8240 chafee csac.ca.gov This document is confidential and is intended solely for the use of the individual to whom it is addressed. If you are not the named addressee, you should not disseminate, distribute or copy this document. Rev 4-25-12.

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