CalWORKs Policy - Department of Public Social Services

SSI/SSP parent(s), or non-needy payee);
Families who have been living in their home for
over 30 days;
Families living in subsidized housing, including
Section 8 or receiving other contributions for rent;
and
Families who are requesting EAPE, Diversion,
Housing Relocation.
NOTE:
Families who have received EAPE in
the past and are now in a different
residence may qualify for RA as long
as they meet all RA program
requirements.
What does the participant need to do to get the 4-
Month RA?
The participant can opt to receive RA by simply
signing the appropriate section of the PA 6011, RA-
Agreement (out of drawer) form. The RA-Agreement
will be filled out by the HREW or HCFP EW indicating
amount of subsidy and months the subsidy will be
issued.
NOTE: A rent receipt or verification that rent has
been paid must be provided for each month
a subsidy is issued before another subsidy
payment is issued.
Can a family decline the 4-Month RA?
Yes. A family does not have to accept RA payments
and may decline the assistance. In this case, the
family must sign the appropriate section of the PA
6011.
NOTE:
In this case, the PA 6012 does not need to
be completed.
Is a rental/lease agreement required for the 4-
Month RA?
Yes. A rental/lease agreement is required prior to
issuance of RA payments. The rental/lease
agreement will verify the following information:
Date rental/lease agreement was signed;
Date of move;
Address;
Amount of rent; and
Management company name, and/or landlord
name.