(Courtesy of Eric Bahra) Two children disclosed that the foster father had sexually . It looks like your browser does not have JavaScript enabled. 2023 San Bernardino County | Department of Behavioral Health | Privacy Policy | Accessibility | Newsletter Sign-up | Site Map. For Financial Institutions If you are interested in viewing a PowerPoint presentation on financial abuse, please click here: Try it today! Accessibility To request versions of these forms accessible to persons with visual disabilities, make a note of the form name and click here. Child Support Process Understanding Child Support DCSS Services Step-by-Step Process for Child Support Child Support Process Forms Most typically, the CPS/DCFS social worker wants to keep you from knowing exactly what you have been accused of sort of keeping themselves on a "general fishing expedition" but it is required by state and federal law to tell you the exact details of the accusations at first contact with . 247 West Third Street, 11th Floor. 0 `$ endstream endobj 36 0 obj <>/Subtype/Form/Type/XObject>>stream If you suspect that a child has been, or is in danger of, abuse or neglect , contact the county Children's Protective Services 24-hour emergency response phone. Substance Use Disorder and Recovery Services Policy, Substance Use Disorder and Recovery Services Procedure, Naloxone Intranasal Distribution Procedure, Client Tuberculosis (TB) Testing and Services Policy, Client Tuberculosis (TB) Testing and Services Procedure, myAvatar Electronic Health Records Policy, myAvatar User Account Creation and Reinstatement Procedure, myAvatar User Account Modification Procedure, myAvatar User Account Deactivation Procedure, Criteria for Beneficiary Access to SMHS Medical Necessity and other Requirements, No Wrong Door for Mental Health Services Policy, Revised Mental Health Co-Staffing Chart Documentation a, Personal Protective Equipment (PPE) for DBH Programs, Quality Management Chart Documentation Guidance due to, New Classification of Other Qualified Providers, Coronavirus (COVID-19) Information for DBH Workforce, Mental Health Consumer Perception Survey Spring 2019, DMC-ODS UCLA Treatment Perception Survey-October 2019, Notice of Changes to EPSDT Data Collection Requirements, Editing Notice of Adverse Benefit Determination (NOABD). 90&L$S` V: This year, San Bernardino County settled a lawsuit for $7.5 million in a case that alleged that a county social worker was aware of sexual abuse in the foster care system and failed to report it. endstream endobj 49 0 obj <>/Subtype/Form/Type/XObject>>stream The following are forms for the California Children's Services Program.. CFS receives and reviews allegations of child abuse and neglect made within San Bernardino County and provides intervention and support services to families and children when those allegations are substantiated. endstream endobj 39 0 obj <>/Subtype/Form/Type/XObject>>stream San Bernardino County 211 get connected. 0 endstream endobj 42 0 obj <>/Subtype/Form/Type/XObject>>stream First 5 San Bernardino (909) 387-7706 Fishing (909) 38-PARKS: Fleet Management (909) 387-7870: Flies . 2\`q#=csS&c. endstream endobj 26 0 obj <>/Subtype/Form/Type/XObject>>stream E\\y\FAS\.BB1X!S` 1 H237402VH2P0P0342E\i\\ H237402VH2P0P037U03U(JJ*2T0T0BC#S\.1* e f Claim Against County of San Bernardino (pdf) County of San Bernardino Employees If you need to file a claim for Workers' Compensation please report to your supervisor for appropriate follow-up and related document completion. endstream endobj 48 0 obj <>/Subtype/Form/Type/XObject>>stream Report Suspected Child Abuse or Neglect If you suspect that a child's health or safety is jeopardized due to abuse or neglect by parents or other caretaker who has custody of the child, contact the child protective services agency in your county. 2. California Children's Services Forms. endstream endobj 30 0 obj <>/Subtype/Form/Type/XObject>>stream the san bernardino county sheriff's department, in partnership with california state university of san bernardino and california baptist university, provides evidence-based interventions for inmates to improve family relations, mitigate factors leading to self-destructive life patterns, reduce recidivism, and promote overall healthy functioning Other useful information can be accessed from the menu by clicking the links to a variety of topics. H4 07M% HR>pRY=^Xqd wy0` S. Complete the CPS Records Request Form below and fill it out with as much information as possible. ,&?(bYY Vb4*LgPr`2GH X, 9974|3/ Wy8L@O q][Wk9URk#w+mr5A! endstream endobj 28 0 obj <>/Subtype/Form/Type/XObject>>stream The Department of Children and Family Services encourages everyone to report suspected child abuse and neglect, however, certain professionsare mandated to report suspected child abuse and neglect. You will need to pay the fee or submit a Request to Waive Court Fees. Call 877.410.8829 Live agents are available Monday-Friday from 7 a.m. - 5 p.m. Stay informed with new authentication options! Show details. Read more at CountyWire. Assistance with Family law, Child support, Landlord/tenant, and more. Please turn on JavaScript and try again. f endstream endobj startxref Samples can be emailed to you by request at: selfhelpforms@sb-court.org. Former social worker Eric Bahra has been awarded a $2.5 million jury verdict against San Bernardino County. The Family Court has extensive jurisdiction over many domestic matters. endstream endobj 27 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj startxref get answers. Request for Second Opinion Procedure QM6053-1 New! If you feel you have a claim against the County, we encourage you to first attempt E\i\\ endstream endobj 32 0 obj <>/Subtype/Form/Type/XObject>>stream 0.749023 g San Bernardino, CA 92415-0640 (909)891-9019 . Please enable scripts and reload this page. San Bernardino County Child & Family Services Administration see details for office hours 150 S Lena Rd San Bernardino, CA - 92415 Phone: (909) 388-0242 Office Details TAD San Bernardino DPSS Office see details for office hours 2050 N. Massachusetts San Bernardino, CA - 92415 Phone: (877) 410-8829 Fax: (909) 475-2231 Office Details Find substance use disorders and/or alcohol recovery services? Disaster Response Requirements (02/01/2017) New! Thank you for the opportunity to assist you! These 24-hour Hotlines are staffed by trained social workers. Strives to protect endangered children, preserve and strengthen their families and develop alternative family settings. Network Adequacy Requirements and Deadline (03/01/2018), Updated Authorization to Release Protected Health Info, Child and Adolescent Needs and Strengths (CANS)(PSC-35), UCLA Treatment Perceptions Survey Information (9/20/18), Mental Health Consumer Perception Survey Fall 2018. Registration process. . 2. The Department of Children and Family Services encourages everyone to report suspected child abuse and neglect, however, certain professions are mandated to report suspected child abuse and neglect. Box 1359 Susanville, CA 96130-1359 Website Lassen County Health & Social Services Agency Ms. Barbara Longo, Director P.O. Where the situation is not an emergency needing the police, reports should be made to the Child Abuse and Neglect Hotline in the following areas: Santa Clara County 24-hour Hotline: 1-833-SCC-KIDS (833-722-5437) San Jose Area: (408 . 0.749023 g If you are struggling with a juvenile matter involving CFS in San Bernardino or CPS in Riverside, The Haynes Law Firm, APLC is available to provide a consultation regarding your case. Report Waste, Fraud & Abuse, County Job Openings Child and Family Teams (CFTs) During this state of emergency related to the Novel Coronavirus (COVID-19), the CFT process serves as an essential strategy to ensure families and providers can continue caring for children and that the county is aware of the practical and emotional needs of caregivers and children. f endstream endobj 41 0 obj <>/Subtype/Form/Type/XObject>>stream Follow the installation instructions on Adobe's web site to properly install and configure the Acrobat Reader. County Job Descriptions and Salaries 238 0 obj <>stream Complete CA CFS 125 CPS - San Bernardino County 2013-2022 online with US Legal Forms. However. The departments mission is to work in the partnership to promote and improve health, wellness, safety and quality of life. Welcome to San Bernardino County America's largest county. Revised Child/Adolescent Psychiatric Evaluation CLP014, Regulations Regarding Welfare and Institutions Code WIC, CLP015-1 Child/Adolescent Assessment-CANS-SB 05/02/2017, Implementation of the Diagnostic and Statistical Manual, Medicaid Managed Care Final Rule Implementation, Confidentiality Statement Requirement for Safeguarding, Implementation of Title Change of Marriage and Family, Psychiatric Mental Health Nurse Practitioners, New Mental Health Procedure Codes (10/13/2016), Outpatient Chart Manual and Scope of Practice Guide, Revised Medicare Certification Requirement (01/29/2016), Electronic Mail (e-mail) Encryption (11/19/2015), Contact by Outside State or Federal Agencies, Breining Institute Accreditation Termination, Updates to the Scope of Practice and Billing Guide, Updated DBH Billing Forms and Reference Materials, Medi-Cal Expansion-Determining Tier III Service, ICD-10 Implementation Delayed (04/03/2014), Medicare Updates Regarding ICD-10 (02/20/2014), Updates to the Lanterman-Petris-Short (LPS) Act, Diagnostic and Statistical Manual of Mental Disorder, Discontinuance of Procedure Code 365 (11/05/2015), Non-use of Blood Glucometers (06/02/2015), Marriage and Family Therapist Intern Experience, Board of Behavioral Sciences (BBS) Amendments, Care Necessity Form Revision (09/13/2013), Medicare Administrative Contract Transition 07/15/2013, Mental Health Plan (MHP) Contract Clarifications, Client Index Number (CIN) Policy Enforcement 07/02/2013, Accreditation of Certifying Organizations (04/30/2013), Changes in Charge Data Invoice (CDI) Codes (12/27/2012), Outpatient Chart Manual/Initial Contact Form 12/20/2012, License Denied or Suspended for Failure to Pay Taxes, Requirements for Lactation Accommodations (01/06/2012), Board Referral of Matters to County Staff (10/26/2011), Authorization of Release of Protected Health Info, Sharing of Protected Health Information relating to MH, Medi-Cal Claims Processing Requirements When Other, Scope of Practice and Billing Guide (05/17/2011), Updates to Universal Chart Data Invoice (CDI) Codes, Outpatient Chart Manual (OCM) Revision (05/09/2011), Medi-Cal Eligibility System (MEDS) (01/18/2011), Sanctions for Certification of Excluded, Suspended, Adhering to Educational Regulations (05/26/2010), Providing Written Communication to Consumers/Family, Medicare: Forms Update u0026amp; Review Process (03/01/2010), Certification of Alcohol and Other Drug (AOD) Counselor, Simon Update for Short Doyle/Medi-Cal Phase II, Approval of Promotional, Educational and/or Information, Referral of Clients from Contract Agencies, Health Family SED Services Policy/Procedures 02/11/2009, Outpatient Chart Manual (OCM) Changes (01/26/2009), Inpatient Claims for Medi-Cal Recipients with other, Deficit Reduction Act Compliance (11/24/2008), Incentive Cards Procedure and Controls (12/10/2007), CDPH Orders for Behavioral Health Facilities u0026amp; Workers, Flexibilities for Medicare Telehealth Services, Chart Entry to Address Provider Professional Credentials, New Timeframes for Completion of Progress Notes, myAvatar Chart Documentation Procedural Changes (IIN 21-002), Network Adequacy Certification Tool (NACT) (07/01/2020). Step 2: Fill out your forms completely. Child Abuse Report. H237402VH2P0P endstream endobj 54 0 obj <>/Subtype/Form/Type/XObject>>stream f Please enable scripts and reload this page. H*2T0T007U0332U(J In alignment with the Countywide Vision to create a county in which those who reside and invest are able to prosper and achieve well-being, Human Services works to build a healthy community by strengthening individuals and families, enhancing quality of life and valuing people. To download a form (in PDF format), click on the form number in the appropriate table. Use professional pre-built templates to fill in and sign documents online faster. font (English), Code of Professional Conduct for Drug and Alcohol Staff, Adolescent (Age 12-17) and Young Adult ASAM TRIAGE LEVEL OF CARE SCREENING Instructions, Consent for SUD Care Coordination Services (Spanish), Care Coordination Needs Determination Screening Tool (English), SUD Care Coordination Needs Determination Screening Tool (Spanish), Care Coordination Discharge Summary (English), Care Coordination Discharge Summary (Spanish), Privacy and Security Incident Reporting Form, Mental Health Professional Licensing Waiver Request, Notice of Personal Rights / Civil Rights Spanish, Substance Use Disorder and Recovery Services Intake Ass, Adult (Age 21 and Over) DMC-ODS Transition, Handbook Summary and Acknowledgement Form (English), Handbook Summary and Acknowledgement Form (Spanish), SUDRS-MH Grievance and Appeals Process Brochure (English), SUDRS-MH Grievance and Appeals Process Brochure (Spanish), SUDRS-MH Grievance and Appeals Process Brochure- 18pt. The Hotline is contacted when a member of the community has a concern regarding potential abuse or neglect of a child. when an social worker,caseworker at CPS has clearly undermine her family for 8 years & others. Contact us to help you find a path to a $0 balance. 2018 Superior Court of California, County of San Bernardino, All Rights Reserved |, COVID-19: COURT OPERATIONS DURING THE COVID-19 PANDEMIC, Family Court Services Orientation Class Info, Failure to Appear/Respond to a Jury Summons, Court Case Information and Document Sales, How to Navigate San Bernardino Superior Court, San Bernardino Superior Court Rules of Practice, Local Emergency Rules Related to COVID-19, Online Form Preparation and Filing (TurboCourt), Online Form Preparation and eFiling (TurboCourt), Stipulation For Settlement (CCP 664.6) (fillable), Proof of Service Notice of Appeal (Code Enforcement), Appeal Procedures for Unlimited Civil Cases (Information on), Declaration of Petitioner and Request for Records Check, General Civil Case At-Issue Memorandum (fillable), Declaration and Order Re: Satisfaction of Judgment, CONFIDENTIAL Referral for CII/Carpos/ICMS Report (Civil) - Form A, Order Request for Review of Denial of Request to Remove Name from Gang Database, Initial Trial Setting Conference Statement, Application for Diversion of Individual with Mental Disorder, Order on Application for Diversion of Individual with Mental Disorder, Declaration and Order for Release of Exhibits, Consent to Bring Prohibited Items into the Courthouse as Exhibits (fillable), Stipulation And Order On Request For Order, Referral for CII/CARPOS/ICMS Report (fillable), Family Law At-Issue Memorandum for Trial Setting, Declaration And Order For Issuance Of Writ Of Execution/Abstract Of Judgment (fillable), Order On Petition For Grandparent Visitation, Response To Petition For Grandparent Visitation, Declaration Re: Compliance with Custody Orders (fillable), Petition for Declaring Child(ren) Free from Parental Custody and Control, Citation - Freedom from Parental Custody and Control, Order Declaring Child(ren) Free from Parental Custody and Control, Order on Petition to Terminate Parental Rights of Alleged Father, Petition to Terminate Parental Rights of Alleged Father, Declaration and Order Dispensing with Notice to Alleged Father, Petition to Obtain Original Unsealed/Un-Redacted Birth Certificate, Order on Petition to Obtain Original Unsealed/Un-Redacted Birth, Order on Petition for Birth Record Information, Application to Obtain Final Adoption Order and Order, Application to Obtain Copies from Adoption Case and Order, Petition for Adoption of Adult or Married Minor, Agreement of Adoption of Adult or Married Minor, Consent of Spouse of Adult or Married Minor to be Adopted, Stipulation for Entry of Judgment Re: Establishment of Parental Relationship, Order for Publication of Citation (Adoption), Application for Order for Publication of Citation (Adoption), Notice of Continuance of Hearing (Family Law), Declaration Regarding Objection to Agreement, Family Law/Child Support Copy Request Form, Affidavit/Certificate/Declaration Re: Military Service in an Adoption and Related Matters, Order for Publication of Summons or Citation, Application for Publication of Summons or Citation, Request for Dismissal -- Small Claims Cases, Declaration of Mailing or Inability to Ascertain Address (fillable), Request to Excuse Notice with Due Diligence Declaration, Audio CD Information Sheet and Order Form, Petition for Release of Jury Records and Order, Objection/Response to Packet (Delinquency), Objection/Response to Packet (Dependency), Certification of Competency (Delinquency), Response to Petition for Resentencing (Juvenile), Proof of Service - Juvenile Restraining Order, Ex Parte Application And Order To Serve Summons By Posting, Application for Judgment for Restitution of Premises Only (CCP1169) (fillable), Pretrial Orders Judgment By Court Unlawful Detainer (fillable), To Set Case for Trial - Unlawful Detainer, Application for Issuance of Writ of Execution Per CCP 712.010, Small Claims/Landlord Tenant Copy Request Form, Order Appointing Counsel For Conservatee, Probate Code Sections 1470, 1471, and 2356.5(f)(1), Petition for Visitation (Guardianship Cases Only), Order on Petition for Visitation (Guardianship Cases Only), Order Appointing Counsel For Minor, Probate Code Sections 1470 and 1516.5 (fillable), Notification of Court of Conservatorship Address, Confidential Guardianship Questionnaire and Authorization for Release of Information, List of Required Contact Information for Conservatorships, Optional Attachment to List of Required Contact Information for Conservatorships, Confidential General Care Plan of Conservatee, Ex Parte Petition to Dispense with Accounting and Order (fillable), Request for Deferment of Court Investigator Fee and Order, Affidavit to Comply with California Probate Code 13100-13115, Termination of Guardianship - Parent Questionnaire, Notification of Disqualification from Voting, Notice of Commencement of Proceedings for a Court Supervised Trust, Confidential Information Sheet - Conservatorship, Confidential Information Sheet - Guardianship, Confidential Information Sheet - Intestate Probate, Confidential Information Sheet - Testate Probate, Confidential Information Sheet - Trust Matters, Request for Consideration of Ability to Pay, Waiver of Arraignment & Court Trial Setting. H*2T0T032f@(++5167UKZ y9\PP9#D1W @ ch f Reporting Medical Conditions and Communicable Diseases, Pill Organizers for DBH Clients (11/06/2015), ICD-10 Diagnosis and Procedure Code Transition, State Requirements for Treatment Authorization Requests, Electrical Safety: Personal Appliances (04/11/2014), Medication Policy and Procedure (11/20/2013), Prepaid Debit Cards/Bus Pass Continuous Written Log, Use of Electronic Signatures (04/22/2010), Use of Episode Closing Codes (03/02/2009), IN 15-01 Non-use of Blood Glucometers (06/02/2015), IN 13-01 Disclosure of Ownership (03/18/2013). Request Public Records To Report Child Abuse San Bernardino County residents can dial 2-1-1 to anonymously report if they suspect a child is being abused. Enhances the quality of life in the community by administrating support programs to persons in need of financial, nutritional and/or medical assistance while working with families and individuals to attain self-sufficiency. 2rLr2Fz@2"c. For your convenience, virtual interviews are available. Form Number Description Revised Date; SB-598: Settlement Conference Brief: 09/17/13: SB-12039: Stipulation And Order On Request For Order: 11/05/12: SB-19447 Information on how to report child abuse or make complaints. 2\`q#=csS&c. 909-484-7667. "San Bernardino County [and] CPS are on notice," Carter warned. Human Services works to build a healthy community by strengthening individuals and families, enhancing quality of life, and valuing people. 0 k Box 6083 San Bernardino, CA 92412 Fax the completed SS 8572 form to: Children and Family Services at (909) 891-3545 or (909) 891-3560 0 0 7.125 7.125 re Find your local county office. California Family and Domestic Violence Referral Directory. Helps at-risk children by improving communication, planning, coordination and collaboration between child serving agencies. San Bernardino Independent: 36: 150 E Holt Blvd, 3rd Floor, Ontario, CA 91762: 909-458-1637: 909-986-2970: San Diego Independent: 37: Health and Human Services Public Safety and Justice Community Services Recreation and Culture Government Services Board of Supervisors Col. Paul Cook (Ret.) Our DIRECT LINE: 1-929-277-7848 to begin today your POWER-session 1-on 1 (Ext.806) Help Form (go to sue cps main site) www.SUECPS.weebly.com or fill out right on this informative site.. Lawyers sadly per state,are not caring enough to file.. endstream endobj 29 0 obj <>/Subtype/Form/Type/XObject>>stream San Bernardino County Workforce Development Board, Community Policy Advisory Committee (CPAC), Cultural Competency Advisory Committee (CCAC), Behavioral Health Commission (BHC) Meeting is Going Dark. Childrens Interagency Authorization to Exchange Confidential Health Information (PHI) Superseded by COM025_E, Childrens Interagency Authorization to Exchange Confidential Health Information (PHI) (Spanish) Superseded by COM025_S, Therapeutic Behavioral Services Service Assessment, Therapeutic Behavioral Services Risk Assessment, Therapeutic Behavioral Services Referral Form, Childrens Interagency Authorization to Exchange Confidential Health Information (PHI), Childrens Interagency Authorization to Exchange Confidential Health Information (PHI) (Spanish), Child/Adolescent Psychiatric Evaluation and Update, Child/Adolescent Clinical Assessment-CANS-SB, Request to Waive Consumers Responsibility to Pay for Medications, Caregivers Authorization Affidavit (Spanish), Request for Verification of Veterans Status for Mental Health and/or Substance Abuse Services, Consent and Authorization to Exchange Confidential Information for Veterans Status, Medication Support Services Plan (Spanish), Release and Hold Harmless Agreement (Spanish), Interdisciplinary Care Team (ICT) Referral Form, Annual Psychiatric Assessment Review Form, Guidelines for Completing Referral Summary for Referral to Managed Care Plan (MCP) Attachment, Tier Transition Letter Attachment II (Spanish), Beneficiary Nondiscrimination Notice (Spanish), Delivery System Notice (NOABD) (Vietnamese), Delivery System Notice (NOABD) (Mandarin), QM030_S Modification Notice (NOABD) (Spanish), Change of Provider Request Form (Spanish). CFS does not supply these forms. Our number one priority is the prosecution of those responsible for committing crimes within our communities so that the safety and security of others are protected. Get e-mail updates on the latest COVID-19 news. Application to Determine CCS Program Eligibility (DHCS 4480, 01/22) Help Count the Unsheltered and Make a Difference. %%EOF H*2T0T03Tp. Child Abuse Hotline (800) 827-8724 Child Abuse Prevention/Safe Kids (909) 383-9677: Child and Family Health . H*2T0T037U03U(J County Code and Charter 0 0 7.875 8.625 re Adolescent (Age 12-17) and Young Adult (Age 18-20) DMC-ODS Transition New! H237402VH2P0P037U03U(JJ*2T0T0BC#S\.1* e Welcome to San Bernardino County's Career Opportunities page! This site uses cookies to enhance site navigation and personalize your experience. Child Abuse Reporting Policy: 05/13/2021 CHD0303 Child Abuse Reporting Procedure . H*2T0T032U0W(J f Our Family Court division is committed to the processing and management of all domestic matters with integrity, sensitivity and timeliness. To file a claim against the County please complete the form below, print, sign and send to the address listed on the form. Step 2: A Code Enforcement Officer will conduct an exterior inspection of the property to verify compliance with the County's requirements. Serves veterans and their families and ensure they receive the benefits they have earned. 1345 0 obj <> endobj %PDF-1.6 % Your computer must have the Adobe Acrobat Reader installed in order to view any of these documents.You will need todownload Adobe Acrobat Readerfrom Adobe's website. 0 0 9 8.625 re endstream endobj 46 0 obj <>/Subtype/Form/Type/XObject>>stream provides an avenue for reporting fraud, waste, and abuse within SSA's programs and operations. Enroll my Preschooler in a Head Start Program? 0 0 7.875 7.5 re hAAgpBE TN= 3j:)iZ#Y:TV@[F^KA `Gs'1?4Tyk'us*"Oz~~WP6W3=BA!>vHh &kd4:[FO] lA 1. Easily fill out PDF blank, edit, and sign them. 0 Please be advised that incomplete or inaccurate information may delay the processing of your request. In cases of an immediate emergency, always call 9-1-1 for Law Enforcement intervention. Save or instantly send your ready documents. The nature of specific incident(s) you are reportingand, Date(s) and descriptions(s) of the injuries or dangers, Identities of perpetrator(s) and their relationship/s to thechild, Witnesses to the incident(s) and how they may be reached, Details of any physical evidence available, The perpetrator'scurrent access to the child, Present condition/status of the child (for example: inneed of medical attention), Statements from the child(ren) when possible, San Bernardino County Children and Family Create this form in 5 minutes! If not, the site will list the address and phone number of your local courthouse. The California Public Records Act is found in the California Government Code, beginning at Section 6250. Rancho Cucamonga. There are no geographic restrictions. 0 k 0.749023 g 0.749023 g Call (833) 526-5197 to schedule a consultation to get your immediate questions answered and get the legal representation you need. 0.749023 g H237402VH2P0P32f@(+PP$j 2rMMrFz@^T)T!Q` R The Isaac Lethbridge Story: A Two-Year-Old Killed in a Michigan Foster Home in 2006. Use Arrears calculator to figure out balance. Welcome to the County of San Bernardino Human Services' website. Substance Use Disorder and Recovery Services, Services Guide, Directories and Resource Library, Children and Youth Collaborative Services (CYCS), Notice of Privacy Practices and Acknowledgement of Receipt of Notice of Privacy Practices (Mandarin), Notice of Privacy Practices and Acknowledgement of Receipt of Notice of Privacy Practices (Spanish), Notice of Privacy Practices and Acknowledgement of Receipt of Notice of Privacy Practices (VIE), Change of Provider Request Form 18pt. Get ready-made fillable templates for faster form filing and decrease human errors. A hotline for impacted residents is open from Monday through Friday, 8 a.m. to 7 p.m. at (909) 356-2563. Request for Second Opinion QM048_E Revised! endstream endobj 44 0 obj <>/Subtype/Form/Type/XObject>>stream Phone : 800.722.3181 Within the State of California you may call toll free 1 (800) 344-6000. H*2T0T0342E\\y\FPn.6RBVT+ San Bernardino County size in square miles, Incorporated cities in San Bernardino County, Auditor-Controller/Treasurer/Tax Collector, George Air Force Base: Commemorating Its Legacy 30 Years Later Exhibit. The San Bernardino County Department of Child Support Services determines paternity, establishes and enforces child support orders, and secures payments to assist the financial and medical needs of their children. I am an older adult and need help taking care of myself. To file a claim against the County please complete the form below, print, sign and Box 1409 San Bernardino, CA 92408. Consolidation of Electronic Signature (E-Signature). Phone : 909.384.9233 Phone : 800.827.8724 Code Enforcement Hotline The Code Enforcement Division of the Land Use Services Department receives complaints regarding land use, zoning, housing, public nuisances, vehicle abatement, and vegetation or fire hazard abatement. 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