Answer the survey
California residency, who the coverage is for, county, household size, and monthly income.
Get one private link
The link lasts 72 hours. It is a random code, not your name. We can text it to your mobile number or email it. If you did not ask for it, ignore it. Reply STOP to end texts.
Send your own information
Legal name, date of birth, phone, California address, household, and income. A Social Security number or ITIN is optional and is encrypted. You can also attach photos or PDFs of your documents.
A specialist reviews it
The submission appears on the staff desk for review. You do not get a staff login. After you submit, the link closes and does not show what you sent.
What the link cannot do
- Open another person’s record
- Open the staff desk, calendars, or other applications
- Stay open after you submit, or after 72 hours
Ready to see if you may qualify?
A few questions about your household and monthly income. No account needed.