CalWORKs Policy - Department of Public Social Services

egistration applications are due to a change of
address, this lets people know that they need to reregister
if they have a new address.
• Must provide PA 106, Would You Like to Register
to Vote? (out of drawer), form to potential
registrants.
• Must encourage applicants to complete the Voter
Registration Form (VRF) (out of drawer) while in
the office. It may be completed in the presence of
the Intake Eligibility Worker/Screener during the
interview or other public contact staff in blue or
black ink. The applicant may return the VRF for
forwarding to the designated place for transmittal.
Applicants should not be told to take the VRF
home; however, they may elect to take the form
home for completion.
• Must ensure that all required portions are
completed legibly. Also, an applicant should
include their telephone number to assist election
clerks clarify any questions about the VRF. If the
forms are not signed and dated, they are not
considered to be valid and will be rejected by the
Registrar-Recorder’s Office.
Are Eligibility Workers (EWs) responsible to assist
with the completion of the Voter Registration Forms
(VRFs)?
Yes. In addition to offering voter registration services,
EWs must assist with the completion of all VRFs, if
necessary, during intake, redetermination, changes of
address and upon request.
What forms are used for the voter registration
process?
The following forms are used for the voter registration
process:
PA 106, Would You Like to Register to Vote? (out of
drawer):
The top half lists voter eligibility requirements and
important notices and the bottom portion documents the
decision of qualified applicants whether or not to register
to vote. The form must be included in all Intake packets
and is used by the Eligibility Workers/Screeners before
the application interview.
Only those receiving/applying for benefits or services
should complete the PA 106 form. All other visitors do not