CalWORKs Policy - Department of Public Social Services

2. Document the Case Comments screen
thoroughly regarding all actions taken; and
3. Complete all actions by the 30 th day of the
month.
See CW 82-514 – Evaluation of Good Cause
for more information
See CW 82-512 – Exemption from
Cooperation Requirements for more
information
What is acceptable documentation when
“good cause” is claimed?
The following describes acceptable
documentation:
• Birth certificates, medical/mental health, rape
crisis, domestic violence program, or
police/sheriff records that show that the
child(ren) was conceived due to incest or
rape.
• Records that show applicant/participant has
asked for help for abuse to him/her and/or
the child(ren); or records that show evidence
of abuse. These records can be from
police/sheriff, governmental agency, or court
records; facts from a domestic violence
program/professional with knowledge that
he/she has asked for help in dealing with
abuse; physical evidence of abuse, or any
evidence that supports an exemption from
the cooperation rules.
• Court documents or other records that show
that a legal adoption is pending in court.
• A written statement from an adoption agency
confirming that applicant/participant is being
helped to decide whether to keep or place
the child(ren) up for adoption.
• Credible sworn statements via PA 853 (out
of drawer), Affidavit, about the history of
abuse or the increased risk of abuse from
either the applicant/participant or other
individuals with knowledge about the
circumstances for the claim of “good cause”.