Right Column
Translated Russian Forms Beginning With The Letters N through Z
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Russian Forms beginning with the letters A through M
For Russian Forms beginning with the following letters click below:
N | O | P | Q | R | S | T | U | V | W | X | Y | Z
- NA 200 (1/02) - Multipurpose
- NA 210 (1/02) - Discontinue, Suspend Financial Eligibility
- NA 211 (1/00) - Notice of Action
- NA 213 (1/02) - Deny - Financial Eligibility
- NA 214 (1/02) - Discontinue, Suspend Transfer of Property
- NA 216 (1/02) - Sponsored Non Citizens Property
- NA 217 (1/02) - Diversion
- NA 219 (1/02) - Property
- NA 274E (6/11) - Notice Of Action Overpayment Computations For 1-1-98 to 6-30-2011
- NA 274F (6/11) - Notice Of Action - Overpayment Amount Owed (For Overpayments Occurring on or after 7/1/2011)
- NA 275 (4/99) - Continuation Page - Overpayment Adjustment Computation - Cash Aid
- NA 281 (6/11) - Notice Of Action Underpayment Amount Owed (For Underpayments Occurring on or After 1-1-98 thru 6-30-2011)
- NA 281A (6/11) - Notice Of Action Underpayment Amount Owed (For Underpayments Occurring On Or After 7/1/2011)
- NA 290 (1/02) - Multipurpose Required Form - Substitute Permitted
- NA 530 (4/11) - Notice of Action 48-Month Time Limit
- NA 531 (9/11) - Notice Of Action 48-Month Time Limit (Continued) Adult Reached CalWORKs 48-Month Time Limit
- NA 532 (4/11) - Notice Of Action 48-Month Time Limit (Continued) Adult Reached CalWORKs 48-Month Time Limit - Discontinue
- NA690 (3/03) – IHSS Notice of Action
- NA 691 (11/06) - Notice Of Denial Cash Assistance Program For Immigrants (Capi)
- NA 692 (12/07) - Notice Of Change Cash Assistance Program For Immigrants (Capi)
- NA 693 (4/99) - Notice Of Approval Cash Assistance Program For Immigrants (Capi)
- NA 801 (11/99) - Notice Of Action GAIN (Manual Process)
- NA 802 (11/99) - Notice Of Action GAIN (Automated)
- NA 816 (5/08) - Notice Of Action - Sanction Of Other Parent After Failed Compliance Plan
- NA 817 (5/08) - Notice Of Action - Sanction Of Participant After Failed Compliance Plan
- NA 818 (10/06) - Notice Of Action - Taking You Out Of Welfare To Work
- NA 820 (01/01) - Notice Of Action - Transportation Approval
- NA 821 (01/01) - Notice Of Action - Transportation Approval/Denial
- NA 822 (01/01) - Notice Of Action - Transportation Change
- NA 823 (08/00) - Notice Of Action - Ancillary Expenses Approval/Denial
- NA 824 (04/99) - Notice Of Action
- NA 825 (08/00) - Notice Of Action - Payment Adjust Transportation
- NA 827 (07/99) - Notice Of Action - Recoupment Unused Advance Payment
- NA 828 (07/99) - Notice Of Action - Transportation And Ancillary Exp Overpayment
- NA 832 (3/10) - Notice of Action - Child Care Services
- NA 833 (1/08) - Notice of Action - Child Care Change
- NA 834 (01/08) - Notice of Action - Child Care Denial
- NA 835 (4/11) - Notice of Action - Child Care Discontinuance
- NA 840 (5/08) - Notice Of Action - Welfare-To-Work Plan
- NA 840A (10/03) - Notice Of Action - Cash Aid
- NA 841 (10/06) - Notice Of Action - Welfare-To-Work Plan
- NA 845 (5/08) - Notice Of Action - Sanction And Removal Of The Other Parent's Needs
- NA 960XQR (7/04) - Stop Aid; Report Not Received
- NA 960YQR (7/04) - Stop Aid; Report Incomplete
- NA 991 (10/03) - Refugee Cash Assistance (RCA)/Entrant Cash Assistance (ECA) MC-Decrease/Expiration (Time-Expiration)
- NA 992 (5/03) - Refugee Cash Assistance (RCA) Application Approval
- NA 993 (4/99) - Food Stamp Notice Of Discontinuance
- NA 995 (2/00) - Food Stamp Notice Of Denial/Disqualification For The California Food Assistance Program
- NA 1205 (1/00) - Notice of Action
- NA 1208 (2/00) - Basic Approval
- NA 1209 (02/02) - Notice of Action - Change In The Amount Of Kin-Gap Payment
- NA 1210 (04/02) - Notice of Action - Discontinue
- NA 1211 (2/00) - Notice Of Action - Denial
- NA 1212 (2/00) - Notice Of Action - Discontinue Property
- NA 1213 (2/00) - Notice Of Action - Discontinue Restricted Account
- NA 1214 (2/00) - Notice Of Action - Change Under/Overpayment
- NA 1215 (6/00) - Food Stamps Notice of Change
- NA 1216 (4/00) - Food Stamp Notice of Change
- NA 1217 (9/06) - Notice Of Action - Cash Assistance Program For Immigrants - Notice of Overpayment
- NA 1218 (9/06) - Notice Of Action - Cash Assistance Program For Immigrants - Notice Of Underpayment
- NA 1230 (7/01) - Cash Assistance Program for Immigrants Notice of Overpayment - Waiver Approval
- NA 1231 (7/01) - Cash Assistance Program for Immigrants Notice of Overpayment - Partial Waiver Approval
- NA 1232 (7/01) - Cash Assistance Program for Immigrants Notice of Overpayment - Waiver Denial
- NA 1233 (3/02) - Multipurpose Required Form - Substitute Permitted
- NA 1240 (8/08) - Notice of Action - Food Stamp Overissuance & Dormant EBT Account
- NA 1242 (6/08) - Notice Of Action - Sanctions Budget
- NA 1261 (10/09) - Overpayment AFDC-Foster Care Benefits
- NA 1263 (8/11) - Notice of Action - Overissuance Budget Worksheet
- NA 1267 (4/11) - CalFresh Informing Notice Of Receiving Intercounty Transfer
- NA 1268 (4/11) - CalFresh Informing Notice Of Sending Intercounty Transfer
- NA Back 9 - Your Hearing Rights (revised 2011)
- PUB 13 (6/11) - Your Rights Pamphlet (Requires 8 1/2" x 14" paper printed landscape)
- PUB 56 (12/06) - The In-Home Supportive Services Program
- PUB 104 (12/06) - In-Home Supportive Services Individual Provider Benefits and Services Information
- PUB 109 (3/10) - Welfare Fraud & Abuse Poster (11 x 17 size)
- PUB 129 (01/04) - Child Abuse Reporting And You - What happens When A Report Is Made?
- PUB 190 (8/06) - How To Hire And Supervise Your In-Home Supportive Services (IHSS) Provider
- PUB 244 (1/04) - ESTABLISHING PATERNITY FOR YOU AND YOUR CHILD
- PUB 275 (4/07) - Family Planning - Making the Commitment for a Healthy Future
- PUB 337 (1/04) - STATEWIDE FINGERPRINT IMAGING SYSTEM
- PUB 367 (01/04) - Reach For Your Dreams With Cal-Learn
- PUB 370 (10/05) - Public Benefits For Asylees In California
- PUB 373 (Print 8 1/2 X 11) (5/07) - Important Food Stamp Information For Noncitizens
- PUB 373 (Print 11 X 17) (5/07) - Important Food Stamp Information For Noncitizens
- PUB 387 (2/06) - California Electronic Benefit Transfer (EBT) Card - The easy, safe, and convenient way to receive your food stamp benefits
- PUB 388 (5/09) - California Electronic Benefit Transfer (EBT) Card - The easy, safe, and convenient way to receive your food stamp and cash benefits
- PUB 389 (5/09) - California Electronic Benefit Transfer (EBT) Card - How To Use Your EBT Card To Make A Purchase (This Publication Is Designed To Be Folded For Use As A Wallet Card.)
- PUB 390 (2/06) - California Electronic Benefit Transfer (EBT) Card - How To Use Your EBT Card To Buy Food (This Publication Is Designed To Be Folded For Use As A Wallet Card.)
- PUB 400 (3/10) - Safely Surrendered Baby Campaign Brochure
- PUB 400A (11/10) - Safely Surrendered Baby Campaign Brochure - Dial 211
- PUB 401 (3/10) - Safely Surrendered Baby Campaign Poster - poster size
- PUB 401 (3/10) - Safely Surrendered Baby Campaign Poster - letter size
- PUB 401A (11/10) - Safely Surrendered Baby Campaign Poster - 10" x 12"
- PUB 412 (4/04) - State Hearing Information
- PUB 420 (10/08) - Supplemental Security Income (SSI) Information for Transitioning Foster Youth
- PUB 421 (10/08) - Supplemental Security Income (SSI) for Youth with Disabilities
- PUB 422 (10/08) - Supplemental Security Income (SSI) for Foster Youth with Disabilities
- QR 2 (6/04) - Reporting Changes For Your Cash Aid Assistance Unit And Food Stamp Household
- QR 3 (7/06) - Mid-Quarter Status Report For Cash Aid And Food Stamps
- QR 7 (12/08) - Quarterly Eligibility/Status Report
- QR 7 Addendum (12/08) - Instructions And Penalties Eligibility/Status Report For Cash Aid and Food Stamps
- QR 7A (8/09) - How To Fill Out Your QR 7 Quarterly Eligibility/Status Report
- QR 22 (12/06) - Sponsored Noncitizens Applying For Or Receiving Cash Aid And/Or Food Stamps
- QR 25A (5/04) - Payee Agreement For Minor Parent
- QR 72 (12/06) - Sponsor's Quarterly Income And Resources Report
- QR 73 (6/04) - Senior Parent Quarterly Income Report
- QR 377.1 (4/04) - Food Stamp Notice Of Approval
- QR 377.2 (5/08) - Food Stamp Notice Of Expiration Of Certification
- QR 377.4 (1/04) - Food Stamp Notice Of Change For Quarterly Reporting Household
- QR 377.5 (2/04) - Food Stamp Mid-Quarter Status Report
- QR 2103 (5/05) - Reminder For Teens Turning 18 Years Old
- QR 2104 (6/10) - Food Stamp Notice Of Restoration Approval
- RCA 43 (5/03) - Refugee Cash Assistance (RCA) Notice Of A Participation Problem
- RCA 44 (05/03) - Refugee Cash Assistance (RCA) Notice Of No Good Cause Determination And Compliance Plan Appointment
- RS 3 (05/03) - Service Provider Referral/Notification Form
- RS 36 (10/03) - Employment And Training Requirements For Refugee Cash Assistance(RCA)
- SAWS 1 (12/06) - Application For Cash Aid, Food Stamps, And/Or Medi-Cal/State CMSP
- SAWS 2 (7/07) - Statement Of Facts For Cash Aid, Food Stamps, and Medi-Cal State Run County Medical Services Program (CMSP)
- SAWS 2A QR (11/10) - Rights, Responsibilities and Other Important Information For The Cash Aid and Food Stamp Programs, and/or Medi-Cal/34-County Medical Services Program (CMSP)
- Script on Learning Disabilities Screening (9/02)
- SOC 295 (2/00) - Application For Social Services
- SOC 310 (1/03) - Statement Of Facts For In-Home Supportive Services
- SOC 332 (6/06) - In-Home Supportive Services (Recipient/Employer Responsibility Checklist)
- SOC 404 (8/00) - In-Home Supportive Services Program Direct Deposit Enrollment/Change/Cancellation Form
- SOC 426 (9/02) - Personal Care Services Program Provider/Enrollment Agreement
- SOC 426A (9/09) - In-Home Supportive Services (IHSS) Program Recipient Designation Of Provider
- SOC 445 (6/99) - Medi-Cal Recovery For The Personal Care Services Program
- SOC 451 (8/02) - Cash Assistance Program For Immigrants Supplemental Application Form
- SOC 453 (11/02) - Cash Assistance Program For Immigrants (CAPI) Statement Of Household Expenses And Contributions
- SOC 455 (1/99) - Authorization for State Reimbursement of Interim Assistance
- SOC 804 (11/99) - Statement Of Facts For Determining Continuing Eligibility For The Cash Assistance Program For Immigrants (CAPI)
- SOC 809 (7/03) - Cash Assistance Program For Immigrants (CAPI) Indigence Exception Statement
- SOC 813 (8/02) - Cash Assistance Program For Immigrants (CAPI) Indigence Exception Determination
- SOC 814 (11/02) - Statement Of Facts Cash Assistance Program For Immigrants (CAPI)
- SOC 818 (7/04) - Relative or Non-Relative Extended Family Member Caregiver Assessment
- SOC 827 (12/06) - IHSS Program Individual Emergency Back-Up Plan
- SOC 829 (6/10) - In-Home Supportive Services Provider Direct Deposit Enrollment/Change/Cancellation Form
- SOC 830 (1/08) - Request for Conditional CAPI After Naturlization Pending SSI/SSP Eligiblity Determination
- SOC 831 (6/10) - IHSS Provider Letter
- SOC 832 (3/10) - Notice of Child Abuse Central Index Listing
- SOC 833 (3/10) - Child Abuse Central Index Listing Grievance Procedures
- SOC 834 (3/10) - Request for Grievance Hearing
- SOC 841 (5/09) - Notice Of Overpayment And Request For Voluntary Repayment
- SOC 860 (12/09) - Sponsor's Statement Of Facts Income And Resources
- SOC 861 (10/10) - Safely Surrendered Baby Medical Questionnaire
- SSP 4A (1/99) - Application And Verification For Special Circumstances Program
- SSP 14 (9/10) - Authorization For Reimbursement Of Interim Assistance Initial Claim Or Posteligibility Case
- SSP 18 (10/10) - Notice Of Action And Right To Request A State Hearing On Interim Assistance
- SSGP 45 (10/07) - The State Supplemental Grant Program (SSGP)
- TEMP 2102 (9/99) - The Maximum Family Grant (MFG) Rule for Recipients of Cash Aid
- TEMP 2120 (8/00) - Welfare To Work Referral
- TEMP 2171 (9/99) - California Self-Initiated Program (SIP) Review Request Form
- TEMP 2172 (9/99) - Notice of Action
- TEMP 2173 (3/00) - New Cash Aid And Food Stamp Rules - Fingerprint Imaging And Photo Imaging
- TEMP 2174 (6/99) - Notice of Action
- TEMP 2174A (6/99) - Notice Of Action (Continued)
- TEMP 2175 (7/99) - Notice Of Action
- TEMP 2177 (11/99) - CFAP Work Rule
- TEMP 2179 (9/00) - Welfare May Owe You Money
- TEMP 2181 (4/00) - Notice Of Action
- TEMP 2193 (Eng/RS) (5/06) - Notice To All Food Stamp Recipients
- TEMP 2193A (Eng/Rs) (5/06) - Notice To All Food Stamp Recipients
- TEMP 2198 (11/01) - Important Food Stamp Information For Noncitizens
- TEMP 2201 (07/02) - Cash Aid/Food Stamp Electronic Benefit Transfer - EBT Request For A Designated Alternate Card Holder/Authorized Representative
- TEMP 2202 (07/02) - Cash Aid/Food Stamp Electronic Benefit Transfer - EBT Service Request
- TEMP 2203 (07/02) - Request For Cash Aid Electronic Benefit Transfer - EBT Exemption
- TEMP 2206 (4/02) - Notice Of Action
- TEMP 2207 (5/02) - Notice Of Action
- TEMP 2208 (4/02) - Notice Of Action
- TEMP 2209 (4/02) - Notice Of Action
- TEMP 2211 (4/02) - Notice Of Action
- TEMP 2212 (5/02) - Notice Of Action
- TEMP 2214 (7/08) - Additional Information About Electric Benefit Transfer (EBT)
- TEMP 2215 (07/02) - Electronic Benefit Transfer (EBT) Important Information
- TEMP 2223 (3/05) - Notice To All Quarterly Reporting (QR) Households Not Receiving Cash Aid
- TEMP 2224 (9/05) - Application for Food Stamp Benefits for Evacuees of Hurricane Katrina
- TEMP 2226 (7/06) ENG/RS - New Rules For Homeless Assistance For Persons Eligible For Cash Aid
- TEMP 2229 (3/07) ENG/RS - Important Notice - KinGAP Informing Notice
- TEMP 2230 (9/07) ENG/SP - Important Notice To Food Stamp Households
- TEMP 2232 (4/08) - Notice of Possible Listing on the Child Abuse Central Index
- TEMP 2253 (4/11) - You Are Required To Participate In Welfare-To-Work
- TEMP 2254 (4/11) - The State Law Has Changed The Cal-Learn Program New Rules For Pregnant And Parenting Teens
- TEMP CL 1 (8/11) - Welfare-To-Work Program Information Orientation Appointment Notice
- TEMP CL 2 (8/11) - Welfare-To-Work Program Requirements
- TEMP CL 4 (8/11) - Welfare-To-Work Teen Parent Informing Notice To Parent/Legal Guardian Of Welfare-To-Work Participant
- TEMP CL 8 (8/11) - Welfare-To-Work Teen Parent Notice Of Report Card Submittal Schedule
- TEMP CL 10 (8/11) - Welfare-To-Work Teen Parent Notice Of Exemption
- TEMP CW 101 (1/99) - CalWORKs Immunization Rules
- TEMP CW 101A (1/99) - Immunizations Currently Recommended For Children Under The Age Of Six
- TEMP CW 2186A (7/11) - CalWORKs Time Limit and Welare-To-Work Participation Exemption Request Form
- TEMP CW 2186C (8/11) - CalWORKs Exemption Request For Welfare-To-Work Teen Parents
- TEMP M40-107A (9/11) - CalWORKs 48-Month Time Limit Time On Aid (Unticking Months Due To Temporary
- TEMP M40-107E (4/11) - Change CalWORKs Time Limit 48th Month On Aid
- TEMP M40-107G (4/11) - Discontinue CalWORKs Time Limit/Income Exceeds
- TEMP M40-107H (4/11) - Change CalWORKs Time Limt 40th Month On Aid-MFG Child
- TEMP M40-107I (4/11) - Discontinue CalWORKs Time Limit 48th Month On aid, No Eligible Child
- TEMP M40-107J (4/11) - Partial Approval CalWORKs Time Limit Timed-Out Adult
- TEMP M42-769 (8/11) - School Bonus
- TEMP NA 820A (5/02) - Notice Of Action
- TEMP NA 823A (6/99) - Notice Of Action
- TEMP NA 1225 (9/01) - Underpayment Computation
- TEMP NA 1228 (6/01) - Notice Of Action
- TEMP NA 1230 (1/02) - Retroactive Approval - Child Citizen Act Of 2000
- TEMP NA 1232 (6/11) - Notice of Action- CalFresh EBT Account
- TEMP NA 1234 (1/03) - No Adjustment To WtW Time Limit Based On Learning Disabilities
- TEMP NA 1235 (9/02) - Adjustment To WtW Time Limit Based On Learning Disabilities
- TEMP NA 1238 (7/04) - Food Stamp Notice - EBT Account Adjustment
- TEMP NA 1239 (3/04) - Food Stamp Notice of Approval/Termination Transitional Benefits
- TEMP NA 1262 (4/09) - Notice Of Action - CalWORKs Four Percent Grant Cut
- TEMP NA BACK 9 (9/11) - Your Hearing Rights
- TEMP QR 1 (8/03) - New Reporting Requirements For CalWORKs And Food Stamp Recipients
- TEMP W&I 11450.025 (5/11) - Incremental Grant Reduction
- TLR 508 (10/09) - Trustline Registry Criminal Record Statement
- TM44-111A - (4/11) - Income Disregards Change
- TM44-111B (4/11) - Income Disregards Discontinue
- TM44-315D (4/11) - 8 Percent Grant Reduction Change
- TM44-315E (4/11) - Grant Reduction And Income Disregard Discontinue
- TM44-315F (4/11) - Grant Reduction And Income
- WTW 1 (12/05) - Welfare To Work Plan - Rights And Responsibilities
- WTW 2 (12/05) - Welfare to Work Plan Activity Assignment
- WTW 4 (8/04) - Notice To Other Parent
- WTW 5 (5/99) - Welfare To Work Program Notice
- WTW 8 (6/04) - Student Financial Aid Statement Welfare to Work Supportive Services
- WTW 9 (7/99) - Welfare To Work Appraisal Appointment Letter
- WTW 10 (7/99) - Welfare To Work Third Party Assessment
- WTW 11 (7/99) - Welfare to Work/Cal-Learn Supportive Service Overpayment/Underpayment Notice
- WTW 12 (7/99) - Welfare to Work/Cal-Learn Supportive Service Repayment Agreement
- WTW 13(7/99) - Welfare to Work/Cal-Learn Supportive Service Overpayment Final Notice
- WTW 15 (9/11) - Simplified CalFresh Program Unpaid Work Experience (WEX) And Unpaid Community Service Hours Worksheet
- WTW 16 (12/05) - Grant-Based On-The-Job Training Participation: Voluntary Consent Form
- WTW 16A (6/06) - Examples Of Family Income (Region 1)
- WTW 16B (6/06) - Examples Of Family Income (Region 2)
- WTW 17 (12/05) - Waiver Of CalWORKs Learning Disabilities Screening And/Or Evaluation
- WTW 20 (12/05) - Permission To Release Learning Disabilities Information
- WTW 26 (8/03) - Good Cause Determination Guidelines
- WTW 27 (10/03) - Request For Good Cause Determination
- WTW 29 (9/03) - Plan To Stop A Welfare To Work Sanction
- WTW 31 (10/06) - Request To Stop A Welfare To Work Sanction
- WTW 32 (10/03) - Welfare To Work Compliance Plan
- WTW 34 (4/04) - Welfare To Work Family Reunification Plan
- WTW 37 (7/09) - Permission To Release Domestic Abuse Information When Moving To Another County

