County of Marin Health and Human Services

General Relief Application Packet

The 6 documents on this page are part of the application process for the General Relief program. Each document is available in English and Spanish.

1 - Application Cover Letter
English | Spanish

2 - C-IV MEDS Clearance Form
English | Spanish

3 - Rights and Responsibilities Form
English | Spanish

4 - General Relief Application
English | Spanish

5 - Authorization for Release of Confidential Information
English | Spanish

6 - Authorization for Reimbursement Initial Claim
English | Spanish