Send us a message

You can use this form to securely send a message to the Santa Barbara County Department of Social Services. If desired, you can attach a document (such as a pay stub, rent receipt, utility bill etc.) from your computer’s hard drive or your phone’s camera.

Please let us know what we'll be helping you with:

Which Program? (check all that apply)

Medi-Cal

CalFresh

CalWORKs

Welfare to Work / CalLearn

General Relief

Other

Subject:

This is about a New Application

This is about an Existing Case

Case Number, if you know it: (optional)

case number on request for verification — If you got a **CalFresh Initial Appointment Letter** or **Request for Verification** notice in the mail, you will find this on the upper-right corner.

case number on ebt card — If you have an **EBT card**, your case number is located at the bottom (skip the first two digits).

Please tell us who you are and how to reach you:

First Name:

Last Name:

Date of Birth:

Su	Mo	Tu	We	Th	Fr	Sa
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People may share the same name. Specifying your birthday may help prevent mistaken identity.

Phone:

Send text messages to this phone

Phone Type:

Alternate Phone (OPTIONAL):

Send text messages to this phone

Phone Type:

We will call you if we have a question about your message or a problem opening your document.

Email Address:

We will email you a confirmation to the email you provide.

If you prefer not to provide an email address, check this box:

Please type your message below:

Message:

256 characters remaining

What would you like to do?

Please let us know where to send this message:

Send this message to:

Benefit Service Center

Santa Barbara main office

Lompoc main office

Santa Maria main office (Betteravia / Centerpointe)

Santa Maria Self-Sufficiency office (Broadway)

Ready to Send!

All documents received after 4:00 pm, including holidays and weekends, will be counted as received the next business day.

Final Verification:

By submitting this form, you give DSS permission to upate your case information and to contact you by text and/or email with case reminders and other important information..

You have selected not to attach any documents

If you experience any problems with this form, please contact the Octopus Admin.

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