CalWORKs Policy - Department of Public Social Services

CW 44-113.3 – Net
Income Received by
Someone Other than the
Parent
When someone outside of the home receives
income from Social Security, Railroad
Retirement or other pension for an AU
member, is the income deducted?
When a representative payee resides outside of
the home, and receives income (SSA, RR or other
pension) for a child and/or other AU member, the
EW must:
Explain to the applicant/participant that the
benefits received by the representative payee
are paid for the child and/or the other AU
member.
Encourage the applicant/participant to obtain
these benefits for the child and/or other AU
member. This includes asking that the payee
be changed.
Ask how much of the benefit is made available
to the child and/or other AU member. If the
representative payee does not provide any
income for the support of the child and/or other
AU member, the income cannot be deducted
from the AU’s case.
Obtain a PA 853 (out of drawer), Affidavit,
signed by the applicant/participant and the
representative payee to verify amount made
available to the child and/or AU member. This
must be obtained at:
o Application;
o Each redetermination;
o Any time a change is reported; and
o The time the EW learns of the income.
CW 44-113.4– UAM
How is the contribution determined when an
Unrelated Adult Male (UAM) is living in the
home?
When a CalWORKs mother reports that a UAM is
living in the home, a CW 71(LEADER generated),
Statement of Cash Aid Mother and Unrelated Adult
Male (out of drawer), must be completed. The
form determines the financial arrangements
between the UAM and the participant.