CalWORKs Policy - Department of Public Social Services

• QR 7 Addendum, Instructions and Penalties
Quarterly Eligibility Status Report;
• FS 22, Applying for Food Stamp benefits (included
when the AU also receives CalFresh benefits);
• FS 23, How to Report (included when the AU also
receives CalFresh benefits);
• Pub 183, CHDP – Medical and Dental Health
Check Ups;
• PA 106-1, Would You Like to Register to Vote?;
• Gen 1365, Notice of Language Services;
• PA 1675-2, Direct Deposit Overview;
• PA 1914, Domestic Violence Referral Sheet;
• PA 1916, Important Notice: New Domestic
Violence, Mental Health, And Substance Abuse
Services Available;
• PA 2457, Civil Rights Information Notice – Your
Civil Rights;
• PA 2497, Notice – CalWORKs, Food Stamps and
Medi-Cal Applicants/Participants On Use of Social
Security Numbers;
• QR 2103, Reminder for Teens Turning 18 Years
Old;
• MCP 08/09, Women, Infants & Children (WIC)
Information Flyer; and
• WTW 5, Welfare to Work Program Notice.
Can the participant drop off the redetermination forms
at the district office although there is a scheduled
telephone redetermination appointment?
Participants with a scheduled telephone appointment
should be encouraged at every opportunity to return the
required redetermination forms by mail in order to reduce
district lobby traffic.
However, participants are allowed to hand-deliver the
forms if they wish to do so. The Customer Service
Representative should receive the redetermination forms
that are hand-delivered and issue a receipt to the
participant. There is no need for the participant to see the
case-carrying worker to drop off the forms.
When is a second redetermination appointment
scheduled?
LEADER schedules a second redetermination
appointment when the EW does not select the “Tel
Interview Comp” button (for telephone interviews) or
“Show” button (for face-to-face interviews) on the
Appointments by Case Application screen. This is due to
the participant not being available for the telephone
interview or coming in to the district office to “show” for the
face-to-face interview.