Welcome Clients!

Please complete the following form for any childcare or school books & fees reimbursements. You will need to submit the following documentation*:
  • Childcare:
    • Receipt(s) of childcare costs
  • School Books & Fees:
    • Class syllabus or syllabi showing the required textbooks
    • Receipt(s) showing the amount paid you paid.
*Only PDF, DOC, DOCX, PNG, JPG, JPEG, GIF files are supported.

If you are looking for any other kind of financial assistance (i.e. rental assistance, transportation, healthcare), please contact Beth at b.jacksonpardo@pssoc.org or call (949)478-1936

If you have questions about your reimbursement and/or your documentation, please email Nhi at n.pham@pssoc.org
Please have your information and documentation ready beforehand as the form will not save your answers.