CalWORKs Policy - Department of Public Social Services

NOTE: When difficulties develop in obtaining a receipt or
statement from SSA, the district administrative
staff must explore the problem with local SSA
office involved.
What if SSA does not accept the application from the
applicant/participant for a SSN?
When an application was attempted but not accepted by
SSA, the applicant/participant must complete a PA 853
(out of drawer), Affidavit, to establish good cause.
“Good Cause” includes situations in which the necessary
documentation for the application for an SSN is not
immediately available at the time of the application. A PA
853 must be completed every 30 days until SSA accepts
the application and before each good cause extension
can be allowed to continue eligibility.
The PA 853 which is interim documentation must include:
• Date of the attempted SSN application;
• Address of the local SSA office involved in the
application; and
• Actions being taken to provide SSA with needed
information to accept a SSN application.
See Future Action Controls – User Initiated – Create
for LEADER procedures.
What action is taken if the applicant/participant
refuses or fails to obtain a SSN?
If an applicant/participant refuses or fails to comply with
the requirements to obtain a SSN and/or documentation
of the SSN within the established time frames, only the
AU member whose SSN is in question is ineligible for aid.
NOTE: Aid may not be granted until the
applicant/participant has demonstrated that
he/she is cooperating.
When the AU member is a newborn, when is the SSN
application completed?
The EW must instruct the applicant/participant to
immediately report the birth of the child. The
applicant/participant must provide verification of a SSN
application for the newborn to the EW no later than the
last day of the month following the month in which the
mother was released from the hospital.