Form Center Module

Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

▼Agriculture / Weights & Measures

  1. Device and Scanner Registration Form

    Application to register commercial weighing and measuring devices and point of sale devices

  1. Weights and Measures Complaint Form

    Please fill out the form to submit any complaints.

▼Animal Services

  1. Available Cats Adoption Application Contra Costa Animal Services

    If you are interested in meeting and possibly adopting an animal, please complete this form. Once you have submitted the form, you will... More…

  2. Available Dogs in Shelter Adoption Application Contra Costa Animal Services

    If you are interested in meeting and possibly adopting an animal, please complete this form. Once you have submitted the form, you will... More…

  3. CCAS Dog Foster Volunteer Inquiry Form

    This survey will tell us how we can match you with a dog that will fit your present lifestyle. A member of our team will be in touch... More…

  4. Contra Costa Animal Services Adoption Application

    If you are interested in meeting and possibly adopting an animal, please complete this form. Once you have submitted the form, you will... More…

  5. Deceased Animal Pickup On Private Property

    Use this form to request pickup of a deceased animal located on your private property.

  6. Noisy Animal Complaint Form

    Use this form to file a complaint regarding noisy animals.

  7. Transfer Preferred Dogs Adoption Application Contra Costa Animal Services

    If you are interested in meeting and possibly adopting an animal, please complete this form. Once you have submitted the form, you will... More…

  1. Available Dogs in Foster Care Adoption Application Contra Costa Animal Services

    If you are interested in meeting and possibly adopting an animal that is currently in foster care, please complete this form. Once you... More…

  2. Available Other Animals Adoption Application Contra Costa Animal Services

    If you are interested in meeting and possibly adopting an animal, please complete this form. Once you have submitted the form, you will... More…

  3. CCAS Vaccination Clinic Appointments

    The Contra Costa Animal Services Clinic offers low cost vaccinations to residents of Contra Costa County. Proof of residency is... More…

  4. Contra Costa Animal Services Adoption Application for Fostered Animals

    If you are interested in meeting and possibly adopting an animal that is currently in foster care, please complete this form. Once you... More…

  5. Deceased Animal Pickup On Public Property

    Use this form to request pickup of a deceased animal located in the public right of way or on public property.

  6. Transfer Preferred Cats Adoption Application Contra Costa Animal Services

    If you are interested in meeting and possibly adopting an animal, please complete this form. Once you have submitted the form, you will... More…

  7. Transfer Preferred Other Animals Adoption Application Contra Costa Animal Services

    If you are interested in meeting and possibly adopting an animal, please complete this form. Once you have submitted the form, you will... More…

▼CCTV Forms

  1. CCTV Intern Fact Sheet
  2. Communication/Production requests
  3. Delta Channel Program Airing Request
  4. Government Programming Airing Request
  5. Submit your Message for CountyNET - CCTV's electronic bulletin board

    Use this form to request an announcement on CountyNET, the televised bulletin board of announcements that shows on CCTV between regular... More…

  1. CCTV Program Airing Request
  2. CountyNet Bulletin Board Submission Form

    CastNET Content Submission form for use by County Employees

  3. DVD Duplication Request
  4. Project & Event Request

    Please fill out all info fields to the best of your knowledge

▼Contra Costa County Says NO MORE

  1. Share Your Opinion

    Contra Costa County No More

▼DA

  1. Public Records Act Request Form

    Looking to make a request for public records from the Contra Costa District Attorney's Office? Please fill out and submit this form.

▼Department of Conservation and Development

  1. Ag Policy Email List

    Sign up for emails regarding Agricultural Land Use Policy Review

  2. Building Permit Cancellation & Refund Request
  3. Carbon Sequestration Feasibility Study Notification Sign Up

    Sign up for emails regarding Carbon Sequestration Feasibility Study

  4. Census 2020 Post Event Form

    A form to report any Census Events

  5. Code Enforcement Online Complaint Form
  6. Contact Us - Conservation & Development
  7. Iron Horse Corridor Active Transportation Study Email List

    Sign up for emails regarding Iron Horse Corridor Active Transportation Study

  8. Litter Complaint - Keller Canyon Landfill

    This complaint form should solely be used to submit information about litter detected in the vicinity of the Keller Canyon Landfill off... More…

  9. Northern Waterfront Notification Request

    Form to receive notification concerning the Northern Waterfront Economic Development Initiatives

  10. Plan Saranap Email List Form

    Sign up to receive emails about Saranap Ave/Boulevard Way Public Planing Process

  11. Prescreening Form - North Richmond
  12. Website Bug Report
  1. Ag Policy Questionnaire
  2. Cannabis Permitting Email List

    Sign up for email regarding cannabis permitting for unincorporated Contra Costa County.

  3. Census 2020 Outreach and Assistance Grant Final Report Form
  4. Census 2020 Speaker Request Form

    Form to request a speaker from the Census Bureau, County, or training partner to attend an event

  5. Community Choice Energy Email List

    Sign up for emails regarding Community Choice Energy (CCE)

  6. General Information Request Form
  7. Knightsen Wetland Restoration Project Email List

    Sign up for information about Knightsen Restoration Project Information

  8. Marsh Creek Trail Study

    Sign up for emails regarding the Marsh Creek Trail Study

  9. Odor Complaint - Keller Canyon Landfill

    This complaint form should solely be used to submit information about suspected landfill odors detected in the vicinity of the Keller... More…

  10. Planning Information Request
  11. Vision Zero Interested Parties List

    Interested parties regarding the Vision Zero

  12. Website Suggestion

▼District l Supervisor John M. Gioia

  1. Get on Supervisor Gioia's e-mail list
  2. Join Wildland Fire Prevention Group

    Use this form to be added to West Contra Costa's Wildland Fire Prevention Group's contact list.

  1. Join the West County Senior Coalition Contact List

    Use this form to be added to the West County Senior Coalition contact list.

▼Dr. Martin Luther King, Jr., Humanitarian of the Year Awards

  1. Dr. Martin Luther King, Jr. 45th Annual Humanitarian of the Year Award

    Dr. Martin Luther King, Jr. 45th Annual Humanitarian of the Year Award

  1. Dr. Martin Luther King, Jr., 45th Annual STUDENT Humanitarian of the Year Award

    Dr. Martin Luther King, Jr., 45th Annual STUDENT Humanitarian of the Year Award

▼Flood Control District

  1. Lower Walnut Creek Site Tours

    These small group tours are an opportunity to learn more about the restoration project and visit areas that are normally off-limits to... More…

▼Office of Reentry and Justice

  1. ORJ Data Request Form

    Request form for retrieval of aggregate data on adult probation and juvenile client populations.

▼Probation

  1. 2019 JJCPA and YOBG Consolidated Annual Plan Comments Form

    The Probation Department and the JJCC is working with Resource Development Associates (RDA) to develop the 2019 JJCPA and YOBG... More…

▼Treasurer - Tax Collector

  1. Application for Tax Penalty Relief

    Sometimes mail does go astray, sometimes credit card transactions fail to transfer, and sometimes electronic checks fail to process. In... More…

  2. Request for Public Records

    Treasurer-Tax Collector Request for Public Records Form

  1. Internal -- Request for Public Records

    Treasurer-Tax Collector Request for Public Records Form

▼Veterans’ Voices

  1. A Taste of Home, Overseas

    Once you have watched this months episode, "A Taste of Home, Overseas" please take two minutes to let us know what you think in this... More…

  2. All Gave Some, Some Gave All

    Once you have watched this months episode, "All Gave Some, Some Gave All" please take two minutes to let us know what you think in this... More…

  3. Cannabis in the Veteran Community

    Once you have watched this months episode, "Cannabis in the Veteran Community" please take two minutes to let us know what you think in... More…

  4. County Veterans Service Offices: Supporting Our Nation’s Veterans

    Once you have watched this months episode, "County Veterans Service Offices: Supporting Our Nation’s Veterans" please take two minutes... More…

  5. Different Groups, One Tribe

    Once you have watched this months episode, "Different Groups, One Tribe" please take two minutes to let us know what you think in this... More…

  6. Equine Therapy for Veterans

    Once you have watched this months episode, "Equine Therapy for Veterans" please take two minutes to let us know what you think in this... More…

  7. Final Honors

    Once you have watched this months episode, on Final Honors please take two minutes to let us know what you think in this short survey.

  8. Got Your Six

    Once you have watched this months episode, "Got Your Six" please take two minutes to let us know what you think in this short survey.

  9. Looking Back on 2 Years

    Once you have watched this months episode, "Looking Back on 2 Years" please take two minutes to let us know what you think in this... More…

  10. Opioids in the Veteran Community

    Once you have watched this months episode, "Opioids in the Veteran Community" please take two minutes to let us know what you think in... More…

  11. Scams Targeting Veterans

    Once you have watched this months episode, "Scams Targeting Veterans" please take two minutes to let us know what you think in this... More…

  12. Show Me The Money

    Once you have watched this months episode, "Got Your Six" please take two minutes to let us know what you think in this short survey.

  13. Stellate Ganglion Block- A Second Shot

    Once you have watched this months episode, "Stellate Ganglion Block-A Second Shot" please take two minutes to let us know what you... More…

  14. TBI-An Invisible Wound

    Once you have watched this months episode, "TBI-An Invisible Wound" please take two minutes to let us know what you think in this short... More…

  15. The Heart of Youthful Spirit: Growing Wiser in the Veteran Community

    Once you have watched this months episode, "The Heart of Youthful Spirit: Growing Wiser in the Veteran Community" please take two... More…

  16. Trailblazers, Women Veterans Tell Their Stories

    Once you have watched this months episode, "Trailblazers, Women Veterans Tell Their Stories" please take two minutes to let us know... More…

  17. Veterans Service Organizations

    Once you have watched this months episode, on Veterans Service Organizations please take two minutes to let us know what you think in... More…

  18. Vets Serving Vets Survey

    Once you have watched this months episode, on Vets Serving Vets please take two minutes to let us know what you think in this short... More…

  19. Who is Today’s Veteran

    Once you have watched this months episode, "Who is Today’s Veteran" please take two minutes to let us know what you think in this short... More…

  20. Women in Combat

    Once you have watched this months episode, "Elder Abuse Among Veterans" please take two minutes to let us know what you think in this... More…

  1. About Face Survey

    Once you have watched this months episode, on About Face please take two minutes to let us know what you think in this short survey.

  2. Anger in the Veteran Community

    Once you have watched this months episode, "Anger in the Veteran Community" please take two minutes to let us know what you think in... More…

  3. Challenge, Live and Give

    Once you have watched this months episode, "Looking Back on 2 Years" please take two minutes to let us know what you think in this... More…

  4. Dear Mr. Secretary

    Once you have watched this months episode, "Got Your Six" please take two minutes to let us know what you think in this short survey.

  5. Elder Abuse Among Veterans

    Once you have watched this months episode, "Elder Abuse Among Veterans" please take two minutes to let us know what you think in this... More…

  6. Even You Can Prevent Suicide

    Once you have watched this months episode, "Even You Can Prevent Suicide" please take two minutes to let us know what you think in this... More…

  7. Get Straight Answers

    Once you have watched this months episode, "Get Straight Answers" please take two minutes to let us know what you think in this short... More…

  8. Join the Veterans' Voices Viewer Advisory Panel

    Viewers of Veterans' Voices have an opportunity to provide input and suggestions regarding our monthly live, call-in talk show geared... More…

  9. My VA Experience

    Once you have watched this months episode, "My VA Experience" please take two minutes to let us know what you think in this short... More…

  10. Sample Survey

    Once you have watched this months episode, on please take two minutes to let us know what you think in this short survey.

  11. Service Animals

    Once you have watched this months episode, "Service Animals" please take two minutes to let us know what you think in this short... More…

  12. Stellate Ganglion Block

    Once you have watched this months episode, "Stellate Ganglion Block" please take two minutes to let us know what you think in this... More…

  13. Substance Abuse: Know Thy Enemy

    Once you have watched this months episode, "Substance Abuse: Know Thy Enemy" please take two minutes to let us know what you think in... More…

  14. The Creative Side of Veterans

    Once you have watched this months episode, "The Creative Side of Veterans" please take two minutes to let us know what you think in... More…

  15. This Is My Child

    Once you have watched this months episode, "This is My Child, There are Many Like It but This One is Mine" please take two minutes to... More…

  16. VBA: Good Benefits, Great People

    Once you have watched this months episode, "VBA: Good Benefits, Great People" please take two minutes to let us know what you think in... More…

  17. Veterans Treatment Court

    Once you have watched this months episode, "Veterans Treatment Court" please take two minutes to let us know what you think in this... More…

  18. VHA: Real People, Real Care

    Once you have watched this months episode, "VHA: Real People, Real Care" please take two minutes to let us know what you think in this... More…

  19. Wired Tight: Caffeine Use in the Veteran Community

    Once you have watched this months episode, "Wired Tight: Caffeine Use in the Veteran Community" please take two minutes to let us know... More…