Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by providing the contractor information in the designated sections. Enter the agency name, contact name, and the phone number of the individual responsible for the application.
3. Next, move to the youth information section. Fill in all available details, including the youth's name, the last four digits of their social security number, and their birth date. It is crucial to provide accurate information for verification purposes.
4. Continue by entering the case number and case name associated with the youth's application. This information is essential for processing and verifying the youth’s eligibility.
5. In the address field, input the current residential address of the youth, ensuring that it is correct for communication and verification reasons.
6. If applicable, a parent or guardian on the CalWORKS case should sign and date the form to confirm their agreement and acknowledge the information provided.
7. The next section is to be completed by Department of Public Social Services (DPSS) staff. Staff will check the appropriate box to indicate the current CalWORKS eligibility status — whether the youth is eligible or not.
8. Finally, the DPSS staff member will provide their printed name, signature, and district office name or number. Ensure this section is filled out correctly to prevent any delays in processing.
9. Once all sections are completed accurately, save your changes, and consider downloading, printing, or sharing the completed form as necessary.

Start completing the CA Confidential Verification Sheet online to ensure a smooth application process.