Get Ea1 Form

The Ea1 Form is an essential document for applying for emergency assistance in California’s Child Welfare Services. This guide will walk you through the process of filling out the form online, ensuring you have all the necessary information to complete it accurately.

Follow the steps to complete your Ea1 Form online

1. Click ‘Get Form’ button to obtain the Ea1 Form and open it in the online editor.
2. Begin by filling out the 'Child at Risk' section. Provide the full name, date of birth, and Social Security Number of the child. If the child does not have a Social Security Number, enter the MEDS pseudo number instead.
3. Next, move to the 'Related Head of Household' section. Enter the full name, date of birth, and Social Security Number of the related head of household. If the Social Security Number is unavailable, enter the child's Social Security Number.
4. Complete the 'Emergency Assistance Application' details, indicating whether this is a primary or supplemental application by checking the appropriate box.
5. In the 'Certification Section', indicate if the emergency meets the necessary definitions by placing an 'X' in the relevant boxes for questions 1 through 5.
6. If a county worker is filling out the form, they need to sign the document in the 'County Worker Signature' area, stating their relationship to the child, and include their contact details.
7. After completing the application, review all fields for accuracy and completeness. Ensure that all mandatory sections are filled in.
8. Finally, save your changes, and choose to download, print, or share the completed Ea1 Form. Make sure to retain a copy for your records.

Complete your Ea1 Form online today to ensure timely assistance for those in need.