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Emergency Transportation Request

If you are requesting emergency transportation assistance from the OCC CalWORKs Program, please understand that you must also access transportation services from your county welfare department as well. Let us know if you need help filling out the county forms.
1.First and Last name(Required.)
2.Student ID #(Required.)
3.In a brief statement, in your own words, please explain the higher-than-usual need you are experiencing with transportation expenses at this time. For example, frequent court dates, unexpected living costs, unreimbursed medical or dental expenses, travel out-of-county for custodial visits, or any other unusual challenge. (Responses are confidential)(Required.)
4.What type of transportation assistance do you receive from the county?(Required.)
5.If you claim gas mileage transportation assistance from the county, approximately how much do you receive monthly? If you haven't yet requested transportation assistance from your county worker, type "Unknown" or "Pending". 
6.If you do not receive transportation assistance from the county, please check all that apply.(Required.)
7.Are you currently in the CARE Program?(Required.)
8.Are you receiving gas cards from the Student Equity Program?(Required.)
9.If you would like to schedule an appointment in the campus CalWORKs office for help filling out the county mileage claim forms, please check "Yes".
10.To make certain a student is not over-awarded federal Financial Aid funds (e.g. Pell Grant, Stafford Loans, FSEOG, workstudy, etc.), the CalWORKs office will verify your "Unmet Need" amount with the college's Financial Aid office. Please check "Accept" that you understand. (To determine your own Unmet Need, review your MyCoast Financial Aid tab, or consult with a Financial Aid Specialist.)(Required.)
Current Progress,
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