CalWORKs Policy - Department of Public Social Services

(CalWORKs) Program
CW 2103, Reminder for
Teens Turning 18 Years
Old
QR 2, Reporting
Changes for Your Cash
Aid Assistance Unit and
Food Stamp Households
QR 3, Mid-Quarter Status
Report
QR 7, Quarterly
Eligibility/Status Report
QR 7A, How to Fill Out
Your QR 7 Quarterly
Eligibility/Status Report
QR 22, Sponsor’s
Statement of Facts
Income and Resources
(Supplemental
Application for Food
Stamps And Cash Aid)
QR 25A, Payee
Agreement For Minor
Parent
QR 29, Applicant Test
QR 30, CalWORKs
Budget Worksheet
QR 72, Sponsor’s
Quarterly Income and
Resources Report
QR 73, Senior Parent
Quarterly Income Report
Form renumbered to QR 2103
May be used to inform the participant of their
Income Reporting Threshold (IRT) and reporting
responsibilities.
May be used by participants to report mandatory
and/or voluntary mid-quarter changes in writing.
Participants are not mandated to use this form and
counties shall also accept mid-quarter reports that
are submitted in a manner other than on the QR 3.
Used to collect information to determine eligibility
and benefits for cash aid and food stamps. The QR
7 comes with an addendum that lists examples of
income and expenses and the penalties for fraud.
Used to provide instructions to participants on how
to fill out the Quarterly Report (QR 7). The QR 7A
shall be given to applicants at the time of application
and to participants at each annual redetermination.
The form shall also be made available anytime the
participant requests it.
Used to collect necessary information about a
noncitizen’s sponsor for determining eligibility for the
noncitizen.
Used in minor parent cases to delegate an adult
payee.
Used to determine if the applicant is eligible for
Cash Aid.
Used to determine the aid payment amount for the
AU.
Used to gather necessary information each quarter
from a noncitizen’s sponsor that is used to
determine continuing eligibility and grant levels for
the minor parent.
Used to collect necessary information from the
senior parent to determine continuing eligibility and
grant levels for the minor parent.