The California Department of Social Services (CDSS) has designated seven Welfare-to-Work (WTW) forms for statewide use. Six of those forms are informing notices.
The new WTW 112 form is for clients to get medical verification that a household member who is not a mandatory WTW participant requires care in the home. The form must be completed by a doctor or other medical professional who can verify the need for care in the home. When that need is established, a mandatory WTW participant may be exempt from WTW to care for that household member. If the person who needs in home care is also a mandatory WTW participant, the CW 61 form must be used to verify their WTW exemption. (ACL 26-08, January 23, 2026.)