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☐American River College
☐Cosumnes River College
☐Folsom Lake College
☐Sacramento City College
Textbook Verification Form Process
1. Attach copies of the following documents to this form:
Current class schedule- classes must match your Student Education Plan
Booklist- provided from your course syllabi or from your college bookstore
Current Student Education Plan (SEP)- created by a CalWORKs Counselor
Current Unofficial Transcripts- must show your grades and G.P.A. for the previous
semester
2. This form and all attached documents must be submitted to a CalWORKs staff member to verify
and total the cost of books. A CalWORKs staff member must sign this form in order for your
County DHA worker to approve and issue a check for your books.
3. Once signed, it is your responsibility to pick up the form from our office and give the completed
form to your County DHA worker.
Please allow a Two-Day
turn around for our verification process
Tips on Filling-Out the Textbook Verification Form
1. You must be enrolled in the classes for which you are submitting a request for books- not
waitlisted.
2. The classes you are enrolled in must be listed on your Student Ed Plan, created by a CalWORKs
Counselor
3. If you are enrolled in some classes and waitlisted on others, fill out and submit a textbook
verification form for the classes in which you are enrolled. If and when you have received a
permission number for the class in which you are waitlisted, you may complete a separate
textbook verification form for that class.
4. If you are enrolled in classes at another Los Rios college in the same semester, you must fill out a
separate textbook verification form for those classes.
5. Only list the required books; do not include the recommended books.
6. Always put down the price of a NEW book, never a used book or rental
7. When filling out the form, do not enter the sales tax or the total for the cost of the books; we will
enter this information for you when we verify the form.
