Contra Costa County Government Forms

Form Title	Agency	Topics
Beneficiary Non-Discrimination Notice	Health Services
Building Bridges Conference	Health Services
Cancellation of a Homeowners' Exemption	Assessor
CCMHP Insurance-Medicare Payment Notification Form	Health Services
CCMHP Insurance-Medicare Verification Notification Form	Health Services
CCVS Brochure	Health Services
Certificate of Compliance Application	Planning
CFT Meeting Action Plan and Progress Summary	Health Services
Change in Ownership Statement - Death of Property Owner	Assessor
Change of Address Form	Assessor
Change of Ownership Informational Sheet	Health Services
Change of Therapist/Doctor or Change of Diagnosis Form	Health Services
Checklist	Health Services
Child and Adolescent Needs and Strengths (CANS	Health Services
Children/Adolescent Medical Necessity Criteria	Health Services
Claim for Base Year Value Transfer - Acquisition by Public Entity	Assessor
Claim for Intercounty Transfer of Base Year Value to Replacement Property from Principal Residence Damaged or Destroyed in a Governor-Declared Disaster	Assessor
Claim for Reassessment Exclusion for Transfer Between Parent and Child	Assessor
Claim for Reassessment Exclusion for Transfer Between Parent and Child (For Transfer Dates of 2/15/2021 and Prior) (PDF)	Assessor
Claim for Reassessment Exclusion for Transfer from Grandparent to Grandchild	Assessor