CalWORKs Policy - Department of Public Social Services

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any concerted slowdown or other concerted interruption of operations by employees. Striker Supplemental Security Income/State Supplemental Program Voluntary Mid-Quarter Reports Striker means an applicant or recipient who is participating in a strike on the last day of the month. SSI/SSP child means a child who would be eligible for CalWORKs except that he/she is receiving SSI/SSP. SSI/SSP is the federal/state assistance program for persons who are aged, disabled or blind as authorized by Title XVI of the Social Security Act. Voluntary Mid-Quarter reporting means any nonmandatory change that is reported by a participant mid-quarter/between QR 7 submissions. See CW 44-316.3 Reporting Changes Affecting Eligibility and OPS 23-110.180 Mandatory Mid- Quarter Reports
CW 80-310 FORMS CW 2.1, Notice of Agreement for Child, Spousal, and Medical Support CW 2.1Q, Support Questionnaire CW 4, Immediate Need Payment Request CW 5, Veterans Benefits Verification and Referral CW 7, Monthly Eligibility Report CW 8, Statement of Facts for an Additional Person Used for each absent parent, during redetermination interview if the form is not already on file or when a new absent parent is reported. Used to collect information regarding an absent/non-custodial parent so that the County may be assigned rights to any child or spousal support payment that the participant receives while receiving aid. Used to determine if the applicant/participant is eligible for Immediate Need payment. Used to: • verify the status and/or amount of the veteran’s benefit being received; • refer applicants/participants to the County’s Veteran Service Office (CVSO); and • obtain new veteran benefits when the information on the statement of facts form indicates possible eligibility for benefits. Form renumbered to QR 7 Used to add a person to the AU and to determine eligibility for the pregnancy special need allowance when an AU member becomes pregnant and the unborn was not included on the last SAWS 2. Exception: When the father of an unborn returns to the home at any time after application but before the child’s birth and there is no eligible child, a CW 8 is required. CW 8A, Statement of Facts To Add A Child Under 16 CW 13, Caretaker Relative Agreement CW 23, Senior Parent Statement of Facts CW 25A, Payment Used to collect the information necessary to determine eligibility when adding a child. Used to designate the caretaker relative as agreed by two persons who live in separate homes when both could qualify as the caretaker relative of a child. Used to collect information about the senior parent/legal guardian’s income to determine a minor parent’s eligibility. Form renumbered to QR 25A
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USER INFORMATION You can look up Ca
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CW 42-100 Age CW 42-101 - Age Requi
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CW 44-200 AU Composition and Need C
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CW 81-200 Diversion Services CW 81-
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CW 40-100 RECEPTION AND APPLICATION
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need to complete the form. The pote
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The PA 4033, National Voter Registr
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NOTE: When difficulties develop in
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• Each applicant or aided adult;
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to be temporarily exempt from finge
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• Within 30 days of determining e
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• Illness of a parent/caretaker r
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PART B, is used by the school to ve
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• The PA 1725, School Attendance/
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Update the Prior Current Aid screen
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For time on aid requests from other
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“High Risk” EW. The participant
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second home call is scheduled by ap
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CW 40-107.8 - WIC Referrals When is
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• If no, continue with current in
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If the participant requests TMTT an
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Will the 50 percent unemployment ra
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CW 40-119.3 - Adding a Person to th
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• If an AU requests restoration o
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appointment. The next day, the Elig
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• The documentation is missing fr
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Can an IN payment be issued if the
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What is “apparent” eligibility?
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An applicant family is eligible for
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If any one of the above is not avai
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• Full cooperation from the appli
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If the PA 2322 is returned as undel
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• A mail back due date for the re
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In addition, for telephone redeterm
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• Review LEADER claims. Identify
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• Complete the Master Case Review
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How is an applicant/participant not
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For example: CalWORKs case is termi
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• Verification of the AU’s MAP
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What action is taken when the distr
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payment require an appropriate NOA
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NOTE: As interim, a PA 853 (out of
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How is the four-week period calcula
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When the unemployed PE becomes empl
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CW 41-440.2 Unemployment [Deprivati
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CW 41-450 - Absence What is the def
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What evidence documents continued a
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services at school in accordance wi
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See CW 40-105.5 School Attendance R
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When the teen requests his/her own
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documents in the teen’s case. 2.
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participant must present evidence f
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erroneous. If the original PA 230 i
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the ES. o Files the first copy of t
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CW 42-111.1 - Evidence/ Documents W
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See CW 42-433 Child Born Outside of
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etc.). Real property is not cash, b
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Some payments are considered proper
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more information. If the applicant/
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If the property (other than a home/
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the applicant/participant decides n
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inaccessible to the AU if all of th
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What household items are excluded f
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application, the personal property:
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the property/resource limit. Also,
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have ownership interest in or a lie
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Property held by the AU +1,400 $2,8
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• Step-parent(s); and • Caretak
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• A victim of domestic abuse. •
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*The MAP amount is subject to chang
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• Grant amounts of $10 or less.
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CW 42-400 RESIDENCE CW 42-400 - Res
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Can aid be continued if the partici
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CW 42-417 - Recipients from Other S
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How is a Noncitizen’s eligibility
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• LEADER will fail the individual
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I-181-A I-181-B No Yes - PRS grante
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What is an alien registration numbe
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In addition to comparing the SAVE d
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Document Valid-appearing I-551, I-1
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• In the case of an adopted child
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Can a foreign passport be used to v
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What is the I-94? The I-94 is issue
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The I-551 and I-151 contain “clas
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How are non-citizens referred to th
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Who is eligible to VAWA? Applicant/
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Same I-797C I-797/ I-797C Same Indi
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I-551 Z13 may indicate battery, nee
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What are the family relationship re
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• On the right side of the screen
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Can confidential information about
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Who are Amerasians? Amerasians are
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Specialized Supportive Services Wor
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What are the “New Exemption/Good
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What action is taken when the GAIN
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EXAMPLE An exemption for caring for
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Is a GAIN sanction a mandatory coun
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Updating the sanction “end date
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Can the County and the Tribal TANF
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CW 42-762 - Introduction to the Cal
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Teens ages 18 & 19 For 18 and 19 ye
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Failure of the parent or stepparent
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See CW 89-200 Minor Parent for more
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needy/indigent when the sponsored n
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See CW 42.433 Eligible Alien Status
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CW 44-101 - Definition CW 44-100 IN
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CW 44-101 (m) - Income Reporting Th
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How is the income received from the
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A child/spousal payment is received
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If an applicant/participant receive
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NOTE: In 1994, Congress transferred
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See Income - Earned for LEADER proc
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occupant’s rent payment to the la
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$400 DBI -225 DBI disregard $175 Re
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See CW 43-100 Responsible Relatives
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The house payment (including the ta
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CW 44-115.3 - In-Kind Values What a
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CW 44-133.3 - Income From Other Pro
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A step-parent who is the spouse of
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Monthly Income Computation $700 Jul
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o The net non-exempt income of time
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If adding the father does not resul
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The value of in-kind income for the
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CW 44-207.3 - Lump Sum How is lump
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Laundry Telephone The participant n
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The PA 371 (out of drawer), Non-Rec
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House Repairs Interim Shelter Movin
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See Homeless - CalWORKs for LEADER
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1815, Important Notice Regarding a
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Is a family required to have a noti
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out in the amount of $350. The rema
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If apparent CalWORKs eligibility ca
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How many days of temporary shelter
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Name and phone number of landlord,
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again. The parent requests HA for t
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Uninhabitability of the residence -
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If the AU receives HA but the famil
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In addition to the security deposit
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Family locates permanent housing fo
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Does a family need to have an evict
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Is the Rent Arrearages Payment a On
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NOTE: For drug felons only: in a tw
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What should the EW do when the tota
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Who is eligible to receive funds un
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EXAMPLE An AU applies for MA under
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3. PA 956, Housing/Utility Verifica
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and MA program applications, includ
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Who is not eligible to receive fund
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EXAMPLES Example 1 After receiving
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How are the THAP+14 benefits issued
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SSI/SSP parent(s), or non-needy pay
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Permanent HA is issued for the move
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Do the 4-Month RA payments count as
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Can a pregnant applicant with no el
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When the participant does not repor
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PA 1675 (out of drawer), Direct Dep
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Instruct the participant to complet
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ETA is a special kind of bank accou
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A PA 853 (out of drawer), Affidavit
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If the Direct Rent payment only pay
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The Eligibility Worker must offer D
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Good cause is entered in the Direct
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What are the duties of the Direct R
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PA 6029, Direct Rent - Landlord Ver
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When the appointment is scheduled,
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Is the DR EW required to verify lan
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o PA 6029 Information reported in S
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Adds the landlord as a vendor to LE
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Are protective payee payments requi
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ESD will notify Central Print to pu
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The EW must inform the sanctioned i
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4. Determine if the AU meets any ex
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The following examples will illustr
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Is the MFG rule applied when a fami
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CW 2102 (LDR generated), The Maximu
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If a pregnancy occurs due to the fa
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When is the waiver of the MFG rule
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What form is used to inform the par
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If the inconsistency is not related
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What is the processing timeframe fo
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When a Tribal TANF program requests
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Which Region receives the higher MB
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How is the monthly grant amount cal
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The father is added to the existing
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At the request of the individual AU
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What are the county-initiated mid-q
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What is the beginning date of aid (
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What is the beginning date of aid (
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See Individual-Remove From Assistan
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CW 44-317.6 - Foster Care/Kin-GAP W
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Page 383 and 384: CW 44-340.1 - Underpayment- Definit
Page 385 and 386: When an underpayment is discovered,
Page 387 and 388: CW 44-350.2 - Overpayment Types Wha
Page 389 and 390: On what is the “good faith” det
Page 391 and 392: will probably be mailed to the dist
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Page 395 and 396: enefits, adult victims do not need
Page 397 and 398: members need to have a certain immi
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Page 401 and 402: • I-688B section 274A.12(a)(3)
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Page 407 and 408: • Use the PA 203-4, Voluntary Res
Page 409 and 410: and Food Stamps? RCA families/indiv
Page 411 and 412: month time clock for cash aid. They
Page 413 and 414: eligible to RCA if they are full-ti
Page 415 and 416: applicants/participants required to
Page 417 and 418: • The EW is to complete the RS 3
Page 419 and 420: Eligibility Worker should ask for v
Page 421 and 422: Are Match Grant funds counted again
Page 423 and 424: CW 69-211 - Aid Payments Are Refuge
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Page 427 and 428: Where appropriate, “child” shal
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Page 431: determines to be necessary for a re
Page 435 and 436: (CalWORKs) Program CW 2103, Reminde
Page 437 and 438: CW 81-215.1 - Definition CW 81-200
Page 439 and 440: Who does not qualify for diversion?
Page 441 and 442: of how much is paid for those servi
Page 443 and 444: • Apply an overpayment if the app
Page 445 and 446: CW 81-215.6 - Child Support Income
Page 447 and 448: Duties of CSSD Child Support Office
Page 449 and 450: See Sanction/Penalties/POI for LEAD
Page 451 and 452: insurance benefits, military allotm
Page 453 and 454: How is an applicant/participant ref
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Page 457 and 458: • For DPSS districts 03, 04, 20,
Page 459 and 460: Declaration of Paternity, the EW mu
Page 461 and 462: • Provide the applicant/participa
Page 463 and 464: If the CW 371 cannot be located and
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Page 467 and 468: CSSD only makes a determination of
Page 469 and 470: • Provide documentation within 20
Page 471 and 472: What services are available when th
Page 473 and 474: CW 82-610 - Potentially Available I
Page 475 and 476: What is the referral process for a
Page 477 and 478: Or • Mail or fax - a paper applic
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• If the case has been transferre
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CW 82-800 ASSISTANCE UNIT (AU) CW 8
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What are examples of persons who do
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EXAMPLE The applicant states that s
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The exact relationship of the child
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See CW 82-500 Child Support Enforce
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CW 82-808.2 - Determining the Caret
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EXAMPLE The eligible child lives wi
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Example 3 In a non-leap year an ind
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eing involved in major and minor de
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Can a parent who is in a rehabilita
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Is a parent, who is an excluded Ass
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How is the EW notified when there i
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• Update Case Comments and the FR
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CW 82-820.2 - Assistance Unit (AU)
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EXAMPLE AU consists of mom and her
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• A person who is fleeing to avoi
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CW 89-100 EXEMPT/NON-EXEMPT MAP AND
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CW 89-130(4) - No Expense Incurred
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occur or was less than expected. o
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CW 89-130(n) - Shortening the Perio
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EXAMPLE The QR Payment Quarter is O
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When a minor parent exemption occur
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NOTE: If verification provided appe
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3. Check the “Risk Assessment for
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payee. Both the adult and the minor
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Example 2 A minor parent is receivi
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CalWORKs Policy - Department of Public Social Services

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