The application you need to turn depends on what you want to apply for. 

Child Support

https://childsupport.state.co.us/siteuser/do/Auth

Click under the “Parents” section

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Colorado Works (TANF)

http://www.cdhs.state.co.us/fap/PDFs/FormCombinedFAapplicationReceipt3-2009.pdf
You have to make an appointment to meet with someone.

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Aid to the Needy Disabled (AND)

General application:
http://www.cdhs.state.co.us/fap/PDFs/FormCombinedFAapplicationReceipt3-2009.pdf

Medical verification

You have to make an appointment to meet with someone.
If you are married and both adults want to apply, you have to complete two separate applications but list all income recourses for both adults. You have to make an appointment to meet with someone.

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Aid to the Blind

General application:
http://www.cdhs.state.co.us/fap/PDFs/FormCombinedFAapplicationReceipt3-2009.pdf

Medical verification

You have to make an appointment to meet with someone. If you are married and both adults want to apply, you have to complete two separate applications. You have to make an appointment to meet with someone.

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SSI Supplement

General application:
http://www.cdhs.state.co.us/fap/PDFs/FormCombinedFAapplicationReceipt3-2009.pdf

You have to make an appointment to meet with someone. If you are married and both adults want to apply, you have to complete two separate applications. You will need to provide information about why you are not getting the whole amount from SSI.

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Old Age Pension (OAP)

http://www.cdhs.state.co.us/fap/PDFs/FormCombinedFAapplicationReceipt3-2009.pdf

If you are married and both adults want to apply, you have to complete two separate applications. You have to make an appointment to meet with someone.

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Medicare Savings Programs (MSP)

http://www.cdhs.state.co.us/fap/PDFs/FormCombinedFAapplicationReceipt3-2009.pdf

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Home Care Allowance

http://www.cdhs.state.co.us/fap/PDFs/FormCombinedFAapplicationReceipt3-2009.pdf

You have to make an appointment to meet with someone.

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Health Insurance Buy-In

HIBI Applicaiton

This is mailed to Colorado Department of Health Care Policy & Financing at 1570 Sherman Street, Denver, CO 80203-1818.

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Adult Foster Care

http://www.cdhs.state.co.us/fap/PDFs/FormCombinedFAapplicationReceipt3-2009.pdf

You have to make an appointment to meet with someone.

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Burial Assistance

Burial Application

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Food Assistance

http://www.cdhs.state.co.us/fap/PDFs/FormCombinedFAapplicationReceipt3-2009.pdf

You have to make an appointment to meet with someone.

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Medicaid for children, pregnant women and families with children

http://www.cdhs.state.co.us/fap/PDFs/FormCombinedFAapplicationReceipt3-2009.pdf

or http://www.chcpf.state.co.us/HCPF/MedElig.asp

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Medicaid for children with special needs

http://www.cdhs.state.co.us/fap/PDFs/FormCombinedFAapplicationReceipt3-2009.pdf

or http://www.chcpf.state.co.us/HCPF/MedElig.asp

State disability application:
http://www.chcpf.state.co.us/HCPF/MedicaidEligibility/MEDICAIDDISABILITYAPPLICATION.pdf

Please also complete a release form for all your doctors and medical providers.

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Children’s Health Plan Plus (CHP+)

http://www.cchp.org/index.cfm?action=apply&language=eng

This is mailed to CHP+ at PO Box 929, Denver, CO 80201.

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Medicaid for adults

General application:

http://www.cdhs.state.co.us/fap/PDFs/FormCombinedFAapplicationReceipt3-2009.pdf

or http://www.chcpf.state.co.us/HCPF/MedElig.asp

State disability application:
http://www.chcpf.state.co.us/HCPF/MedicaidEligibility/MEDICAIDDISABILITYAPPLICATION.pdf

Please also complete a release form for all your doctors and medical providers.

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Medicaid for women with breast or cervical cancer

http://www.cdhs.state.co.us/fap/PDFs/FormCombinedFAapplicationReceipt3-2009.pdf

or http://www.chcpf.state.co.us/HCPF/MedElig.asp

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Emergency Medicaid

http://www.cdhs.state.co.us/fap/PDFs/FormCombinedFAapplicationReceipt3-2009.pdf

or http://www.chcpf.state.co.us/HCPF/MedElig.asp

Medical verification:

Disability Application

Please also complete a release form for all your doctors and medical providers.

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Child Care

http://www.cdhs.state.co.us/childcare/Documents/Application_for_Child_Care_Services_3-07%20.doc 

You should bring in your application to the appointment – please do not mail or fax it to us before your appointment.

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Colorado Indigent Care Program

http://www.colorado.gov/cs/Satellite/HCPF/HCPF/1214299805914 

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Child Abuse or Neglect

http://www.cdhs.state.co.us/childwelfare/FAQ.htm 

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LEAP

http://www.cdhs.state.co.us/LEAP/ 

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Food Assistance

http://www.cdhs.state.co.us/fap/index.htm 

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Food Distribution Program

http://www.cdhs.state.co.us/fdp/ 

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Apply for a Child Care License

http://www.cdhs.state.co.us/childcare/ 

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Adult Protection

http://www.cdhs.state.co.us/aas/adultprotection_basics.htm 

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Report Fraud

http://www.cdhs.state.co.us/audits/index.htm 

Answer:  If you turned in a child support application but have not heard back from anyone yet, call (303) 814-7145.

If your cash, food or medical application was already approved or denied, then you should have received a letter that tells you who processed the application and who is in charge of your case.  That name and phone number is on your letter in the upper right corner of the letter.  If you did not get a letter or are not sure, you can call us at (303) 688-4825 and enter extension 5341 for the receptionist who will research your question and tell you who you need to talk to.

If you mailed in an application or dropped off a cash, food or medical application and have not yet received a letter, you can call at (303) 688-4825 and enter extension 5341 for the receptionist who will research your question and tell you who you need to talk to.

If you already had an appointment for your cash, food or medical application, you should call the person that you met with.  If you do not remember who you met with, you can call us at (303) 688-4825 and enter extension 5341 for the receptionist who will research your question and tell you who you need to talk to.

If you had a cash, food or medical program in another county and don’t know who is in charge of your case, you can call us at (303) 688-4825 and enter extension 5341 for the receptionist who will research your question and tell you who you need to talk to.

If you are already getting child care assistance or have completed the interview and have a question about your case, call (303) 688-4825 extension 5340.

If you are receiving child care assistance in another county, you must have your case closed in the other county you are moving from, and reapply for benefits in the county you are moving to. Child care assistance does not transfer from one county to another. 

Answer: For child support, you do not have to make an appointment to apply.  If you have questions, you can call (303) 814-7145.

For cash, food or medical programs, call (303) 688-4825 extension 5341.  If you already know who is in charge of your case, please do not call them to make an appointment; please call the receptionist who schedules all the appointment.  You do not have to make an appointment to ask general questions about the application process. 

For child care, call (303) 688-4825 extension 5340.  You do not have to make an appointment to ask general questions about the application process. 

Answer:  The rules are different for all of the programs.  You will have to read about each one to find out if you may be able to get help. After you read about the programs, if you still have general questions you can call us at:

Child Support – (303) 814-7145
Cash, Food, Medical Programs - (303) 688-4825 extension 5341
Child Care – (303) 688-4825 extension 5340

Answer:  There are many services available that are not part of the Department of Human Services. 

Program	Help	Contact
Colorado Indigent Care Program (CICP)	Help for low income adults and children who are not be eligible for Medicaid or CHP+	(303) 866-3513 or (800) 221-2943
Douglas/Elbert Task Force and the Parker Task Force	Help with food and household items for low income people and families	Douglas/Elbert Task Force at (303) 688-1114 or the Parker Task Force at (303) 841-3460
Cherry Hills Community Church – Manna Ministry	Help with food for people living in these zip codes: 80124, 80126, 80129, 80130	Call (303) 791-4500 extension 8340; BY APPOINTMENT ONLY
Living Way Fellowship Food Bank - Seeds	Help with food for people living in these zip codes: 80111, 80112, 80120, 80122, 80126, 80129, 80130, 80124	Call (303) 797-7076
Fishes and Loaves Food Bank	Help with food for people living in these zip codes: 80126, 80129, 80130, 80120, 80121, 80122, 80123, 80124, 80125, 80127, 80128, 80110, 80111, 80112, 80113, 80134, 80138, 80108, 80135	Call (303)738-9416
Southeast Community Outreach	Help with food and low cost food baskets for people in certain areas (call to verify if eligible)	Call (720) 842-5621
Inter-Faith Food Bank – Interfaith Community Services	Help with food for people in certain areas (call to verify if eligible)	Call (303) 789-0501
Arapahoe/Douglas Mental Health Network	Help for individuals of all ages with mental health and substance abuse treatment services	(303) 730-8858
National Alliance on Mental Illness (NAMI)	Education, advocacy and support for families dealing with mental illness	www.nami.org or (800) 950-6264
Arapahoe/Douglas Works	Help with job search, resume writing, interviewing skills, training	Main number: (303) 636-1160 Main office: 5500 S. Quebec Street, Suite 175, Greenwood Village  Main website:www.adworks.org Castle Rock office number: (303) 688-4825 extension 5037
Metro Communities Provider Network (MCPN)	Help with medical, psychiatric and dental care for low income individuals and families
Doctor’s Care	Help with mental and medical health for uninsured or under insured individuals and families	(303) 730-1313
Tri-County Health Department	Help with immunizations, WIC (food for women and infants), and family planning	Castle Rock office number:  (303) 663-7650 Castle Rock office: 4400 Castleton Court, Castle Rock
Housing	Help with housing needs is available for people eligible for Section 8 and general low cost housing referrals	Section 8 contact:  (303) 761-6200 Other information about low cost housing in Douglas County: (303) 814-2965
Women’s Crisis and Family Outreach Center	Help with shelter and services for women and young children	Main number:  (303) 688-1094 24 hour emergency line:  (303) 688-8484

 

Answer:  If you have an open child support case in another Colorado county or state, you need to tell your worker in your original county or state. 

If you lived in another county in Colorado and had an open cash, food or medical case, you can report your new address to us.  You can call the receptionist at (303) 688-4825 extension 5341 to report your new address.  The receptionist will not be able to tell you right away who your new technician will be.

If you lived in another county in Colorado and your cash, food or medical case closed, you will probably have to apply again.  You can call the receptionist at (303) 688-4825 extension 5341 to find out of your case closed and if you have to apply again. 

If you lived in another state and had a cash, food or medical case, it did not transfer to Colorado so you have to apply again (unless you had Supplemental Security Income).

If you had child care in another county, you must have your case closed in the other county.  Child care assistance does not transfer from county to county.  To get child care started in Douglas, call (303) 688-4825 extension 5340 to schedule and appointment to apply.

Answer:  We have two locations. 

For child care and cash, food or medical programs, you should come to:

Douglas County Human Services Building
Castleton Court, Castle Rock, CO, 80109

Phone:  (303) 688-4825, extension 5340 for child care
Phone:  (303) 688-4825, extension 5341 for cash, food or medical programs
Fax:  (303) 814-0923 

You can download an application without coming into the office.

Our Child Support office is located in the Judicial Center (court building) at:

Child Support Office
4000 Justice Way, Suite 3538, Castle Rock, CO, 80109-7543
Phone:  (303) 814-7145
Fax:  (303) 814-7014

You can download an application without coming into the office.

Answer:  The information we need to have for your application is different depending on the program.  Please read the list below for the program you have questions about.

For child support, you will have to give us:

1. copies of each child’s birth certificate,
2. copies of any court orders for child support you already have and a list of any payments you have already received,
3. copy of your driver’s license or state identification,
4. as much information as you know about the other parent, including for example his/her name, Social Security number, date of birth, address, and the name of his/her employer.  A photo is also requested if you have one, and
5. your $20 application fee.  If you bring a check or money order, make it out to “Douglas County Human Services”.  If you bring cash, please have the exact amount because we cannot give you change back.

You may also be asked for:

1. the paternity questionnaire if the father’s name is not on the child’s birth certificate,
2. documentation of your current income (this includes for example, pay stubs, bank statements, unemployment, or Social Security benefits, and/or tax returns),
3. documentation of any medical insurance premiums, day care costs, and/or medical bills for the children, and
4. any court orders for parenting time.

For cash, food or medical programs, the information needed to process your application depends on what you applied for and your situation.  Please review this list and bring in all of the things that you have.  You should bring in the most recent information.  If we need additional information, we will let you know.  If you are not sure if something will be needed, it is better to bring it that information when you drop off your application or meet with the worker. 

1. Identification and Citizenship – driver’s license, passport, alien card, naturalization certificate, birth certificate, court documents changing your name, Social Security card, health insurance cards
2. Legal – divorce paperwork, custody documents, restraining orders, child support orders, eviction notice, Power of Attorney or Legal guardian paperwork
3. Income – pay stubs from all current jobs, self-employment ledgers, information about pension/retirement, unemployment information, child support payments you are getting, veteran’s benefits, workers’ compensation payments, rent or room/board paid to you, student loans, gifts
4. Expenses – rental agreement, mortgage statement, utility and phone bills, medical expenses, child care expenses, child support you are paying, promissory notes
5. Immunizations – each child’s immunization records
6. Resources – all vehicle/RV/boat/trailer registrations, bank and investment account statements (from banks, credit unions, savings, IRA, annuity, or stock/bonds) life insurance or burial plan information, other real estate/property

If you are applying for Medicaid, the Department will have to see the original identification and citizenship document (unless you are already getting SSI, SSDI or Medicare).

For child care, you will have to give us:

1. Social Security cards for all family members
2. Birth certificates for all children
3. Picture identification for every adult in the household
4. Immunization records for all children
5. 3 months of pay stubs for each parent
6. 3 months of child support verification

If you just started a new job, you have to give us a letter from your job.  The letter must include your hire date, rate of pay, how often you are paid, and your schedule. Also you have to give us pay stubs within 30 days from your application date.

If you are requesting child care while you attend school, you must provide an enrollment verification letter that includes your start and end date, the program you are enrolled in, the length of time it will take to complete the program, your anticipated salary upon graduation, anticipated graduation date, and daily schedule.  You must also provide a copy of all loans and grants that you are receiving.  We can only help with child care while you are in school if you can complete your program and earn your degree or professional license/vocational certificate within 2 years of the day you apply for assistance.  We cannot pay for child care for anyone who is working on a Masters degree or above. If you are in High School or in training to earn a GED, you can receive assistance until you complete your high school/GED education or you reach the age of 22.

Answer:  There are a few ways you can report changes to your case:

1. call us and speak with the person who is in charge of your case,
2. fax the information to the person who is in charge of your case,
3. drop off or mail the information to the person who is in charge of your case, or
4. email the information to the person who is in charge of your case.

Changes need to be reported to your worker.

It is your responsibility to make sure that we have all of the most current information about your case.  Making sure that we have all the current information will get you the right benefit or payment and avoid any overpayments that have to be paid back.

If you are out of the state or country for 30 or more days, you need to tell your worker because this could affect your benefits.  

Answer:  After your application is approved, you will get a Medicaid card for each person in the mail in about 2 weeks.  If you do not get the card after 2 weeks, you can call your worker.

Answer:  You can report any concerns to:
1) Douglas County Department of Human Services at (303) 688-4825 extension 5341, or
2) Colorado Department of Human Services at (877) 934-6361.

Answer:  You can find a Medicaid provider by searching the state’s Medicaid provider list.

Food Banks Serving Douglas County

Please view the Food Banks Serving Douglas County for a complete listing and contact information.

Call ahead to determine eligibility and hours of operation. Each food bank has different days and times of operation.

All food banks request that those seeking services bring a photo ID, and proof of current address - such as a utility bill and/or phone bill when visiting the food bank.