2009 Notice Of Forms Changes

09-072
TEMP CW 2186A (10/09) - CalWORKs Time Limit and Welfare-To-Work Participation Exemption Request Form

09-071
TEMP 2239 (12/09) - County IHSS Provider Appeals Contact Information

09-070
FS 27 (12/09) - Non-Assistance Food Stamps (NAFS) Household Recertification Form

09-069 ERRATA
FS 26 (12/09) - Food Stamp Program Qualifying Drug Felon Addendum

09-069
FS 26 (12/09) - Food Stamp Program Qualifying Drug Felon Addendum

09-067
PUB 344 (7/09) - English/Spanish - Giving A Child A Permanent Home/Choices For Relatives

09-066
AD 588 (10/09) - English/Spanish Denial Of Paternity By Alleged Natural Father In or Out Of California

09-64 "Not Released"

09-63 "Not Released"

09-062
QR 7A (8/09) How To Fill Out Your QR 7 Quarterly Eligibility/Status Report

09-061
CW 2201 (6/09) Unemployment Insurance Benefits Referral Form

09-060
CW 2203 (11/09) Request For Supplemental Payment By Check Or Direct Deposit

09-059
PUB 428 (10/09) ENG/SP - It's Your Money - Claim It and Save It - Brochure
PUB 429 (10/09) ENG/SP - It's Your Money - Claim It and Save It - Flyer

09-058
AD 929 (11/09) Waiver Of Right To Revoke Consent Independent Adoption Program

09-057
AD 590 (11/09) - Waiver Of Right To Further Notice Of Adoption Planning (Alleged Natural Father In Or Out Of California)

09-056
GEN 1031 (11/09) Annual County Training Plan

09-055
SOC 826 (8/09)  Child Fatality/Near Fatality - County Statment Of Findings And Information

09-054
SOC 154A (11/09)  Agency - Foster Family Agency Agreement - Child Placed By Agency In Foster Family Agency

09-053
SOC 851 (10/09) IHSS Program Notice Of Provider Ineligibility

09-052
SOC 850 (10/09) IHSS Program Notice Of Provider Ineligibility

09-51 "Not Released"

09-050
SOC 856 (10/09) To Ask For An Appeal

09-049
SOC 855 (10/09) IHSS Program Notice To Recipient Of Provider Ineligibility

09-048
SOC 854 (10/09) IHSS Program Notice To Recipient Of Provider Eligibility

09-047
SOC 853 (10/09) IHSS Program Notice Of Provider Ineligibility

09-046
SOC 852 (10/09) IHSS Program Notice Of Provider Ineligibility

09-045
SOC 849 (10/09) IHSS Program Notice Of Incomplete Provider Enrollment Form

09-044
SOC 848 (10/09) IHSS Program Notice Of Provider Eligibility

09-043
SOC 295 (10/09) Application For Social Services

09-042 "Not Released" 

09-041 
NA 1261 (10/09)  Overpayment AFDC-Foster Care Benefits

09-040
SOC 841  (10/09)  Notice Of Overpayment And Request For Voluntary Repayment

09-039
TLR 508 (10/09)  TrustLine Registry Criminal Record Statement

09-038
LIC 995F (10/09)  Caregiver Background Check Information

09-037
LIC 995E  (10/09)  Caregiver Background Check Process

09-036
LIC 508D  (10/09)  Out-Of-State Disclosure & Criminal Record Statement

09-035
LIC 508B (10/09)  Criminal Record Statement - Long-Term Care Ombudsman Program

09-034  
LIC 508A (10/09)  Criminal Record Statement - Adoption Facilitator 

09-033
QR 7A (8/09) How To Fill Out Your QR 7 Quarterly Eligibility/Status Report For Cash Aid And Food Stamps

09-032
LIC 508 (10/09)  Criminal Record Statement 

09-031
NA 1261 (9/09)  Overpayment AFDC-Foster Care Benefits

09-030
FCR 16 (9/09)  Group Home Shelter Costs, Self-Dealing Transactions Declaration And Survey

09-029
FS 11 (8/09) ENG/SP Notice To All Food Stamp Recipients/Important - Please Read  

09-028
PUB 109 (6/09) English and Spanish - Welfare Fraud & Abuse Poster

09-027
CW 31 (5/04) Receipt For Documents

09-026
WTW 37 (7/09) Permission To Release Domestic Abuse Information When Moving To Another County

09-025
LIC 9029B (7/09)  Statement of Facts Preparation Checklist

09-024
FS 28B (10/08) English and Spanish - Food Stamp Program Restricted Account Agreement Part B

09-023
FS 28A (10/08) English and Spanish - Food Stamp Program Restricted Account Agreement Part A

09-022
FS 28 Coversheet (10/08) English and Spanish - Food Stamp Program Restricted Account Coversheet

09-021
FCR 2 FFA  (5/09)  Program Description Checklist

09-020
NA 1261 (6/09) Overpayment AFDC-Foster Care Benefits

09-019
SOC 841 (5/09)  Notice Of Overpayment And Request For Voluntary Repayment

09-018
QR 285B (8/07) Food Stamp Budget Worksheet

09-017
FS 27  English and Spanish (7/08) Non-Assistance Food Stamps (NAFS) Household Recertification Form

09-016
TEMP NA 1262 English and Spanish (4/09)  Notice Of Action - CalWORKs Four Percent Grant Cut

09-015
FS 11B  Eng/Sp (4/09)  Notice To All Food Stamp Recipients Important - Please Read - Things You Need To Know

09-014
TEMP 2234  English and Spanish (4/09)  State Law Changes Maximum Aid Payment (MAP) Levels For Cash Aid Recipients

09-013
LIC 9098 (4/09)  -  Proof of Correction(s)

09-012
TEMP NA 821a (6/99) Notice of Action - Work Transportation Payment

09-011
ILP 1 (1/09) Independent Living Program Annual Report And Plan Federal  Fiscal Year (FFY) 2008

09-010E
SOC 826 (1/09)   Child Fatality/Near Fatality County Statement of Findings and Information

09-010
SOC 826 (1/09) - Child Fatality/Near Fatality - County Statement of Findings and Information

09-009
DPA 488 (6/08) Intentional Program Violation (IPV) Deletion Request Form
DPA 489 (6/08) Intentional Program Violation (IPV) Online Automation System Request For Adding/Deleting A County User

09-008
CW 2200 (3/09) Request For Verification Form

09-007
DPS 249 (8/08) Welfare Intercept System County Transaction Document

09-006
FS 31 (2/09) Notice To All Food Stamp Recipients - Important - Please Read - Things You Need To Know

09-005
FS 26 (3/05) Food Stamp Program Qualifying Drug Felon Addendum

09-004
TLR 2  (2/09)  TrustLine Registry - "The California Registry of In-Home Child Care Providers" - In-Home/License Exempt Child Care Provider Application 

09-003
LIC 279 (2/09)  Application For A Family Child Care Home License

09-002
SOC 235 (2/03) 1 Hour Ways To Show You Care

09-001E
QR 7 (12/08) Eligibility/Status Report
QR 7 Addendum (12/08) Instructions And Penalties Eligibility/Status Report

09-001
QR 7 (12/08) Eligibility/Status Report
QR 7 Addendum (12/08) Instructions And Penalties Eligibility/Status Report