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Employment Services Division

5730 Packard Ave. Suite 100, Marysville, CA 95901 - (530) 749-6311

YubaWORKs- 5730 Packard Avenue Suite 600, Marysville, CA 95901 - (530) 749-6886

CalWORKs Forms


Click on any link below to open and print the form.



  New Job Flyer (YCHHSD 68)

  Examples of Job Search Activities (YCHHSD 78A)

  Job Search Log (YCHHSD 78)

  Monthly Attendance Form - Instructions and Sample (YCHHSD 189A)

  Monthly Attendance Form (YCHHSD 189)

  General Affidavit (YCHHSD 192A)

  Self-Employment Income Affidavit (YCHHSD 192B)

  Plan to Stop a Welfare to Work Sanction (WTW 29)

  Create a Calendar

  Other forms

  Business Card Template



    Contact your Social Worker with any questions or concerns about your case. 



Yuba County Employment Services Division • 5730 Packard Avenue, Suite 100, Marysville, CA 95901 • (530)749-6311 Fax (530) 749-6809


©2009 County of Yuba, CA