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Client Concerns

To submit a concern, please fill out the form and hit the 'submit' button.

Subject:

Concern:

First Name:

Last Name:

Phone Number:

Social Security Number:

 

Benefit:
Medi-Cal
Cal-Works
Cal-Fresh
Cal-Learn
GA (General Assistance)
IHSS
Welfare to Work

Note: All fields are required to submit a client concern. A valid SSN is also required.


Leave this field empty

You may also email Client Concerns at clientconcern@acgov.org. Or you can contact Client Concerns at (510) 645-9332.




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