Apply for public benefits
Welcome to the application hub for these programs:
Ways to apply
| Online | BenefitsCal (Not available for CAPI) |
| In person | Monday - Friday 8:00am - 5:00pm except for County holidays
|
| Phone | (408) 758-3800 |
| Mail* | PO Box 11018 San Jose, CA 95103 |
| Fax* | (408) 295-9248 |
* Download an application below, call (408) 758-3800 to get an application mailed or pick it up in one of our lobbies.
Additional contact information
Need more help
If you have a disability (physical, mental/emotional, or learning), you have the right to tell us how we can accommodate you.
Do any of these apply to you?
- Have a visual, hearing, or speaking impairment
- Need a language interpreter
- Have difficulty walking, sitting, or standing for a long time
- Need help filling out or understanding forms or complicated instruction
If you need help, inform a staff member.
You have the right to equal access to programs and services. If denied an accommodation, you may file a civil rights complaint or disability grievance with this office’s disability rights coordinator. (408) 755-7999
Some information provided on your application may require additional documents be submitted.
- A County Eligibility Worker will let you know if any information needs additional documentation.
- Paper verifications will not be requested if the County already has current information or the information can be electronically verified. The County can help you get documents if necessary.
- Please include your name and case number on all submitted documents.
| Documents can be submitted | |
|---|---|
Online | Fax: (408) 295-9248 |
| Mail PO Box 11018, San Jose, CA 95103 | Drop box at office locations listed in the contact information at the top of this page. |
The following is a list of documents that could be needed to process your application.
| Information | Commonly used verification documents |
|---|---|
| Birth/Citizenship |
|
| Identity |
|
| Residency |
|
| Relationship |
|
| Social Security Number (SSN) |
|
| Immigration status |
|
| Earned income |
|
| Other income (Examples: SSA, unemployment, disability, retirement) |
|
| Property |
|
| Housing and utility costs |
|
| Medical costs |
|
| Medical verification |
|
| Immunization records (for children under 6) |
|