CalWORKs Policy - Department of Public Social Services

Can a PA 956, be used in lieu of a rental
agreement for the 4-Month RA?
No. Initial RA payments may not be issued until a
signed rental/lease agreement has been received and
verified by the landlord.
Can a handwritten rental/lease agreement be
acceptable verification for the 4-Month RA?
A handwritten rental/lease agreement is not
acceptable unless:
1. The Agreement is written on official letterhead;
2. The HREW/HCFP EW has confirmed that the
landlord is in the business of renting;
3. The Agreement contains all the required
information; and
4. The Agreement has been verified with the
landlord by the HREW/HCFP EW.
Once RA eligible, how are the consecutive
months determined?
The consecutive months are determined by the
HREW/HCFP EW at the time the PA 6011, is
completed and the applicant/participant agrees to
receive RA. The initial month will be effective as
follows:
The month following the month in which the move
actually took place (if the move occurred within
30 days of RA agreement and participant is
requesting Permanent HA and/or MA) or
When requesting Permanent HA and/or MA, the
month in which the move will actually occur
according to the rental/lease agreement.
EXAMPLES
Example 1
A CalWORKs family reports on January 1, 2005 that
they have located a place to rent and need
Permanent HA to assist with security deposit in order
to move in. The family is scheduled to move in on
February 1. The family is eligible to receive
Permanent HA and agrees to receive RA. The