Forms

Cal Assessor E-Forms

For all California State Board of Equalization forms related to property in Glenn County, please visit the Cal Assessor E-Forms Website. 

How to make a face covering from the CDC

COVID-19 HHSA Services Update

HHSA lobby closures due to COVID-19

Social Services COVID-19 Response

With the current situation we are facing with the COVID-19 (Coronavirus), Glenn County Health & Human Services, Social Services Department is taking many precautionary steps to protect our staff and community. You might notice that our service delivery has changed with appointments being conducted by mail and/or phone. We want to make sure that our service delivery meets the needs of our community and keeps everyone safe. We are prepared to make the necessary changes as things evolve.

Please contact each department for specific questions, and we ask that you are patient as our call volume has increased.  

The Glenn County Health and Human Services Agency is committed to ensuring the continuity of Essential Services during the COVID-19 pandemic.

Essential Services include:

  • Child Welfare Services--emergency response and assuring the safety of dependent children
  • Adult Protective Services--emergency response and assuring the safety of seniors and dependent adults from abuse
  • In-Home Supportive Services (IHSS)--intake and reassessments triggered by reports of change in needs, IHSS Payroll, and the Public Authority for IHSS if a care provider is needed

Public Assistance Programs--CalWORKS, CalFRESH, Medi-Cal and Homeless assistance

You can apply for Cash Aid, CalFresh and Medi-Cal Online at www.c4yourself.com

C4Yourself is an online application system that allows you to apply for benefits. This is a secure site, and all of your information will be private and safe. 

  • You can apply for Cash Aid, CalFresh and Medi-Cal
  • After you apply online, you can: 
  • Check the status of your application
  • See your worker’s name and phone number
  • See your current benefit amount(s)
  • Get and print your semi-annual report forms
  • Renew or recertify your application
  • Get messages from your worker
  • Get a fax or mail-in coversheet to send information to your worke
  • Obtain necessary information about Cash Aid, CalFresh and Medi-Cal
  • Obtain office closure information
  • See important announcements

Report Suspected Child Abuse or Neglect: 

Call 911 if a child is in immediate danger, or you are concerned about a life-threatening situation.

All other reports, call Glenn County Child Welfare Services

Report Suspected Elder Abuse or Exploitation: 

Please call the APS/IHSS duty number (530-865-6164) to report any suspected abuse of disabled or elderly individuals.

Small Business Administration News Release

Eligibility for Economic Injury Disaster Loans is based on the financial impact of the Coronavirus (COVID-19). The interest rate is 3.75 percent for small businesses. The interest rate for private non-profit organizations is 2.75 percent. SBA offers loans with long-term repayments in order to keep payments affordable, up to a maximum of 30 years and are available to entities without the financial ability to offset the adverse impact without hardship.

Applicants may apply online, receive additional disaster assistance information and download applications at https://disasterloan.sba.gov/ela. Applicants may also call SBA’s Customer Service Center at (800) 659-2955 or email disastercustomerservice@sba.gov for more information on SBA disaster assistance. Individuals who are deaf or hard‑of‑hearing may call (800) 877-8339. Completed applications should be mailed to U.S. Small Business Administration, Processing and Disbursement Center, 14925 Kingsport Road, Fort Worth, TX  76155.

The deadline to apply for an Economic Injury Disaster Loan is Dec. 16, 2020.

For more information about Coronavirus, please visit: Coronavirus.gov.

For more information about available SBA resources and services, please visit: SBA.gov/coronavirus.

Economic Injury Worksheet

This form is not required, but is a convenience in clarifying the supporting documentation the state is required to submit to the U.S. Small Business Administration when requesting an Economic Injury Disaster Loan Declaration. This information in any other format would also be acceptable. For your convenience, this form may be filled our electronically or manually. Please submit completed forms to MaryThomas@countyofglenn.net or fax to (530) 934-6463

Glenn County Sheriff Search and Rescue Application

Glenn County Sheriff's Office Search and Rescue Team is looking for new volunteers. Complete an application to start the process to join our team.

GCSO VIPS application

Glenn County Sheriff's Office - Volunteers in Partnership with the Sheriff program is accepting applications.

Glenn County Proof of Ownership Certificate - Walnuts