Right Column
Chinese Translations
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Chinese Forms beginning with letters A through M
For Chinese Forms beginning with the letters N through Z click below:
N | O | P | Q | R | S | T | U | V | W | X | Y | Z
- NA 200 (1/02) - Multipurpose
- NA 274E (7/99) - Continuation Page - Overpayment Computations (for 1/1/98 & after)
- NA 281 (4/00) - Underpayment Amount Owed (For Underpayment Occurring On Or After 01/01/98)
- NA 290 (1/02) - Multipurpose Required Form - Substitute Permitted
- NA 530 (11/02) - 60 Month Time Limit - Required Form - No Substitute Permitted
- NA 531 (06/04) - Continuation Page - 60 Month Time Limit - includes Budget
- NA 532 (01/03) - Continuation Page 60 Month Time Limit Discontinue - Includes Budget
- NA 690 (3/03) – IHSS Notice of Action
- NA 691 (11/06) - Notice of Denial - Cash Assistance Program For Immigrants (CAPI)
- NA 692 (12/07) - Notice of Change - Cash Assistance Program For Immigrants (CAPI)
- NA 693 (4/99) - Notice of Approval - Cash Assistance Program For Immigrants (CAPI)
- NA 801 (11/99) - Notice of Action GAIN (Manual Process)
- NA 802 (11/99) - Notice of Action
- NA 816 (5/08) - Notice of Action - Sanction Of Other Parent After Failed Compliance Plan
- NA 817 (5/08) - Notice Of Action - Sanction Of Participant After Failed Compliance Plan
- NA 818 (10/06) - Notice Of Action - Taking You Out Of Welfare To Work
- NA 820 (01/01) - Notice Of Action - Transportation Approval
- NA 821 (01/01) - Notice Of Action - Transportation Approval/Denial
- NA 822 (01/01) - Notice Of Action - Transportation Change
- NA 823 (08/00) - Notice Of Action - Ancillary Expenses Approval/Denial
- NA 824 (04/99) - Notice Of Action
- NA 825 (08/00) - Notice Of Action - Payment Adjust Transportation
- NA 827 (07/99) - Notice Of Action - Recoupment Unused Advance Payment
- NA 828 (07/99) - Notice Of Action - Transportation And Ancillary Exp Overpayment
- NA 832 (1/08) - Notice Of Action - CCP Approval
- NA 833 (06/99) - Notice Of Action - CCP Change
- NA 834 (1/08) - Notice Of Action - Child Care Denial
- NA 835 (1/08) - Notice of Action - Child Care Discontinuance
- NA 840 (5/08) - Notice of Action - Welfare-To-Work Plan
- NA 840A (10/03) - Notice Of Action - Cash Aid
- NA 841 (10/06) - Notice Of Action - Welfare-To-Work Plan
- NA 843 (06/99) - Notice of Action - Ineligible
- NA 844 (08/99) - Notice of Action - Adequate Progress
- NA 845 (5/08) - Notice Of Action - Sanction and Removal Of The Other Parent's Needs
- NA 991 (10/03) - Refugee Cash Assistance (RCA)/Entrant Cash Assistance (ECA) MC-Decrease/Expiration (Time-Expiration)
- NA 992 (5/03) - Refugee Cash Assistance (RCA) Application Approval
- NA 995 (2/00) - Food Stamp Notice Of Denial/Disqualification For The California Food Assistance Program
- NA 1205 (1/00) - Notice of Action
- NA 1208 (2/00) - Notice Of Action - Basic Approval
- NA 1209 (2/02) - Notice of Action - Change In The Amount Of Kin-Gap Payment
- NA 1210 (4/02) - Notice Of Action - Discontinue
- NA 1211 (2/00)- Notice Of Action - Denial
- NA 1212 (2/00) - Notice Of Action - Discontinue Property
- NA 1213 (2/00) - Notice Of Action - Discontinue Restricted Account
- NA 1214 (2/00) - Notice Of Action - Change Under/Overpayment
- NA 1215 (6/00) - Food Stamps Notice of Change
- NA 1216 (4/00) - Food Stamp Notice of Change
- NA 1217 (9/06) - Notice Of Action - Cash Assistance Program For Immigrants - Notice of Overpayment
- NA 1218 (9/06) - Notice Of Action - Cash Assistance Program For Immigrants - Notice Of Underpayment
- NA 1230 (7/01) - Cash Assistance Program for Immigrants Notice of Overpayment - Waiver Approval
- NA 1231 (7/01) - Cash Assistance Program for Immigrants Notice of Overpayment - Partial Waiver Approval
- NA 1232 (7/01) - Cash Assistance Program for Immigrants Notice of Overpayment - Waiver Denial
- NA 1240 (8/08) - Notice of Action - Food Stamp Overissuance & Dormant EBT Account
- NA 1242 (6/08) - Notice Of Action - Sanctions Budget
- NA 1261 (10/09) Overpayment AFDC-Foster Care Benefits
- NA 960XQR (7/04) - Stop Aid; Report Not Received
- NA 960YQR (7/04) - Stop Aid; Report Incomplete
- NA Back 9 - Your Hearing Rights
- PUB 13 (3/07) - Your Rights Pamphlet (Requires 8 1/2" x 14" paper printed landscape)
- PUB 56 (12/06) - The In-Home Supportive Services Program
- PUB 104 (12/06) - In-Home Supportive Services Individual Provider Benefits and Services Information
- PUB 129 (1/04) - Child Abuse Reporting And You - What happens When A Report Is Made?
- PUB 244 (1/04) - Establishing Paternity For You and Your Child
- PUB 275 (4/07) - Family Planning...Making the Commitment for a Healthy Future
- PUB 337 (1/04) - Statewide Fingerprint Imaging System
- PUB 367 (1/04) - Reach For Your Dreams With Cal-Learn
- PUB 370 (10/05) - Public Benefits For Asylees In California
- PUB 373 (Print 8 1/2 X 11) (5/07) - Important Food Stamp Information For Noncitizens
- PUB 373 (Print 11 X 17) (5/07) - Important Food Stamp Information For Noncitizens
- PUB 387 (2/06) - California Electronic Benefit Transfer (EBT) Card - The easy, safe, and convenient way to receive your food stamp benefits. Single Column
- PUB 388 (5/09) - California Electronic Benefit Transfer (EBT) Card - The easy, safe, and convenient way to receive your food stamp and cash benefits. Single Column. This is a large PDF file. Please save it to your computer before opening and printing. For help with these files click here: Tips for Using Adobe PDF Files
- PUB 389 (5/09) - California Electronic Benefit Transfer (EBT) Card - How To Use Your EBT Card To Make A Purchase. (This Publication Is Designed To Be Folded For Use As A Wallet Card.)
- PUB 390 (2/06) - California Electronic Benefit Transfer (EBT) Card - How To Use Your EBT Card To Buy Food. (This Publication Is Designed To Be Folded For Use As A Wallet Card.)
- PUB 393 (12/06) - Notification of Parents' Rights - Child Care Center
- PUB 394 (12/06) - Notification of Parents' Rights - Family Child Care Home
- PUB 412 (4/04) - State Hearing Information
- QR 2 (06/04) - Reporting Changes For Your Cash Aid Assistance Unit And Food Stamp Household
- QR 3 (7/06) - Mid-Quarter Status Report For Cash Aid And Food Stamps
- QR 7 (12/08) - Eligibility/Status Report - Quarterly For Cash Aid and Food Stamps
- QR 7A (4/03) - How To Fill Out Your QR 7 Quarterly Eligibility/Status Report
- QR 7 Addendum (12/08) - Instructions And Penalties Eligibility/Status Report For Cash Aid and Food Stamps
- QR 22 (12/06) - Sponsored Noncitizens Applying For Or Receiving Cash Aid And/Or Food Stamps
- QR 25A (5/04) - Payee Agreement For Minor Parent
- QR 72 (12/06) - Sponsor's Quarterly Income And Resources Report
- QR 73 (6/04) - Senior Parent Quarterly Income Report
- QR 377.1 (4/04) Food Stamp Notice Of Approval
- QR 377.2 (5/08) Food Stamp Notice Of Expiration Of Certification
- QR 377.4 (1/04) - Food Stamp Notice Of Change For Quarterly Reporting Household
- QR 377.5 (02/04) - Food Stamp Mid-Quarter Status Report
- QR 2103 (5/05) - Reminder For Teens Turning 18 Years Old
- RCA 43 (5/03) - Refugee Cash Assistance (RCA) Notice Of A Participation Problem(RCA)
- RCA 44 (5/03) - Refugee Cash Assistance (RCA) Notice Of No Good Cause Determination And Compliance Plan Appointment(RCA)
- RS 3 (5/03) - Service Provider Referral/Notification Form
- RS 36 (10/03) - Employment And Training Requirements For Refugee Cash Assistance(RCA)
- SAWS 1 (12/06) - Application For Cash Aid, Food Stamps, And/Or Medi-Cal/State CMSP
- SAWS 2 (7/07) - Statement Of Facts For Cash Aid, Food Stamps, And medi-Cal/34-County Medical Services Program (CMSP) This is a large PDF file. Click here if you have problems with it: Tips for Using Adobe PDF Files
- SAWS 2A QR (1/07) - Rights, Responsibilities and Other Important Information For the Cash Aid and Food Stamp Programs, and/or Medi-Cal/State-Run County medical Services Program (CMSP)
- Script on Learning Disabilities Screening (9/02)
- SOC 295 (10/09) - Application For Social Services
- SOC 310 (1/03) - Statement of Facts For In-Home Supportive Services
- SOC 332 (9/09) - In-Home Supportive Services (Recipient/Employer Responsibility Checklist)
- SOC 404 (8/00) - In-Home Supportive Services Program Direct Deposit Enrollment/Change/Cancellation Form
- SOC 409 (7/03) - IHSS/CMIPS Elective State Disability Insurance (SDI) Form
- SOC 412 (8/02) - IHSS Employee's Claim For Workers' Compensation Benefits Notice Of Potential Eligibility For Benefits
- SOC 426 (9/09) - In-Home Supportive Services (IHSS) Program Provider Enrollment Form
- SOC 426A (9/09) - In-Home Supportive Services (IHSS) Program Recipient Designation Of Provider
- SOC 426B (10/09) - Frequently Asked Questions (FAQ's) About The IHSS Program Provider Enrollment Form
- SOC 445 (6/99) - Medi-Cal Recovery For The Personal Care Services Program
- SOC 450 (4/99) - Voluntary Services Certification
- SOC 451 (8/02) - Cash Assistance Program For Immigrants Supplemental Application Form
- SOC 453 (11/02) - Cash Assistance Program For Immigrants (CAPI) Statement Of Household Expenses And Contributions
- SOC 804 (11/99) - Statement Of Facts For Determining Continuing Eligibility For The Cash Assistance Program For Immigrants (CAPI)
- SOC 809 (07/03) - Cash Assistance Program For Immigrants (CAPI) Indigence Exception Statement
- SOC 813 (08/02) - Cash Assistance Program For Immigrants (CAPI) Indigence Exception Determination
- SOC 814 (11/02) - Statement Of Facts Cash Assistance Program For Immigrants (CAPI)
- SOC 818 (7/04) - Relative or Non-Relative Extended Family Member Caregiver Assessment
- SOC 825 (6/06) - Protective Supervision 24-Hours-A-Day Coverage Plan
- SOC 827 (12/06) - IHSS Program Individual Emergency Back-Up Plan
- SOC 829 (3/08) - In-Home Supportive Services Provider Direct Deposit Enrollment/Change/Cancellation Form
- SOC 830 (1/08) - Request for Conditional CAPI After Naturlization Pending SSI/SSP Eligiblity Determination
- SOC 831 (3/08)- IHSS Provider Letter
- SOC 832 (5/08) - Notice of Child Abuse Central Index Listing
- SOC 833 (3/08) - Child Abuse Central Index Listing Grievance Procedures
- SOC 834 (6/08) - Request for Grievance Hearing
- SOC 841 (5/09) - Notice Of Overpayment And Request For Voluntary Repayment
- SOC 846 (10/09) - In-Home Supportive Services (IHSS) Provider Enrollment Agreement
- SOC 847 (9/09) - Important Information For Prospective Providers About The In-Home Supportive Services (IHSS) Program Provider Enrollment Process
- SOC 848 (10/09) - In-Home Supportive Services Program Notice Of Provider Eligibility
- SOC 849 (10/09) - In-Home Supportive Services Program Notice Of Incomplete Provider Enrollment Form
- SOC 850 (10/09) - In-Home Supportive Services Program Notice Of Provider Ineligibility
- SOC 851 (10/09) - In-Home Supportive Services Program Notice Of Provider Ineligibility
- SOC 852 (10/09) - In-Home Supportive Services Program Notice Of Provider Ineligibility
- SOC 853 (10/09) - In-Home Supportive Services Program Notice Of Provider Ineligibility
- SOC 854 (10/09) - In-Home Supportive Services Program Notice To Recipient Of Provider Eligibility
- SOC 855 (10/09) - In-Home Supportive Services Program Notice To Recipient Of Provider Ineligibility
- SOC 856 (10/09) - To Ask For An Appeal
- SSGP 45 (10/07) - The State Supplemental Grant Program (SSGP)
- SSP 4A (1/99) - Application and Verification For Special Circumstances Program
- SSP 14 (3/08) - Authorization For Reimbursement Of Interim Assistance Granted Pending SSI/SSP Eligibility Determination
- SSP 18 (3/08) - Notice Of Action And Right To Request A State Hearing On Interim Assistance For Payment Pending Cases
- Temp 2102 (9/99) - The Maximum Family Grant (MFG) Rule For Recipients Of Cash Aid
- TEMP 2131 (05/99) - Addendum To Food Stamp Application
- TEMP 2160 (8/04) Region 1 - State Law Changes Maximum Aid Payments (MAPs) for Cash Aid Recipients
- TEMP 2160A (8/04) Region 2 - State Law Changes Maximum Aid Payments (MAPs) for Cash Aid Recipients
- TEMP 2171 (9/99) - California Self-Initiated Program (SIP) Review Request Form
- TEMP 2172 (9/99) - Notice of Action
- TEMP 2173 (3/00) - New Cash Aid And Food Stamp Rules - Fingerprint Imaging And Photo Imaging
- TEMP 2174 (6/99) - Notice of Action
- TEMP 2174A (6/99) - Notice Of Action (Continued)
- TEMP 2175 (7/99) - Notice Of Action
- TEMP 2176 (9/99) - Notice Of Proposed Settlement Of Class Action Lawsuit
- TEMP 2177 (11/99) - CFAP Work Rule
- TEMP 2179 (9/00) - Welfare May Owe You Money
- TEMP 2181 (4/00) - Notice Of Action
- TEMP 2193 (Eng/Ch) (5/06) - Notice To All Food Stamp Recipients
- TEMP 2193A (Eng/Ch) (5/06) - Notice To All Food Stamp Recipients
- TEMP 2198 (11/01) - Important Food Stamp Information For Noncitizens (Multilingual)
- TEMP 2200 (02/02) - CalWORKs Welfare-To-Work Activities Review Request Form
- TEMP 2201 (07/02) - Cash Aid/Food Stamp Electronic Benefit Transfer - EBT Request For A Designated Alternate Card Holder/Authorized Representative
- TEMP 2202 (07/02) - Cash Aid/Food Stamp Electronic Benefit Transfer - EBT Service Request
- TEMP 2203 (07/02) - Request For Cash Aid Electronic Benefit Transfer - EBT Exemption
- TEMP 2206 (04/02) - Notice Of Action
- TEMP 2207 (05/02) - Notice Of Action
- TEMP 2208 (04/02) - Notice Of Action
- TEMP 2209 (04/02) - Notice Of Action
- TEMP 2211 (04/02) - Notice Of Action
- TEMP 2212 (05/02) - Notice Of Action
- TEMP 2214 (7/08) - Additional Information About Electric Benefit Transfer (EBT)
- TEMP 2215 (07/02) - Electronic Benefit Transfer (EBT) Important Information
- TEMP 2223 (3/05) - Notice To All Quarterly Reporting (QR) Households Not Receiving Cash Aid
- TEMP 2224 (9/05) - Application for Food Stamp Benefits for Evacuees of Hurricane Katrina
- TEMP 2226 (7/06) ENG/CH - New Rules For Homeless Assistance For Persons Eligible For Cash Aid
- TEMP 2229 (3/07) ENG/CH - Important Notice - KinGAP Informing Notice
- TEMP 2230 (9/07)ENG/CH - Important Notice To Food Stamp Households
- TEMP 2232 (4/08) Notice of Possible Listing on the Child Abuse Central Index
- TEMP CA600 (04/99) - Annual Review For Cash Aid And Food Stamps
- TEMP CW 101 (1/99) - CalWORKs Immunization Rules
- TEMP CW101A (01/99) - Immunizations Currently Recommended For Children Under The Age Of Six
- TEMP CW 2185 (02/02) - What You Should Know About The CalWORKs 60-Month Time Limit
- TEMP NA 303B (4/00) - Notice Of Action (Continued)
- TEMP NA 820A (5/02) - Notice Of Action
- TEMP NA 823A (6/99) - Notice Of Action
- TEMP NA 1221 (2/01) - Retroactive Approval Dominika V. Saenz
- TEMP NA 1222 (2/01) - Change Dominika V. Saenz
- TEMP NA 1225 (9/01) - Underpayment Computation
- TEMP NA 1228 (6/01) - Notice Of Action
- TEMP NA 1229 (06/01) - Notice Of Action
- TEMP NA 1230 (1/02) - Retroactive Approval - Child Citizen Act Of 2000
- TEMP NA 1232 (8/08) - Food Stamp Notice of Action - EBT Account
- TEMP NA 1234 (1/03) - No Adjustment To WtW Time Limit On Learning Disabilities
- TEMP NA 1235 (09/02) - Adjustment To WtW Time Limit Based On Learning Disabilities
- TEMP NA 1238 (2/04) - Food Stamp Notice - EBT Account Adjustment
- TEMP NA 1239 (3/04) - Food Stamp Notice of Approval/Termination Transitional Benefits
- TEMP NA 1262 (4/09) - Notice Of Action - CalWORKs Four Percent Grant Cut
- TEMP QR 1 (8/03) - New Reporting Requirements For CalWORKs And Food Stamp Recipients
- TLR 508 (5/05) - Trustline Registry Criminal Record Statement
- Welfare to Work Handbook
- WTW 1 (12/05) - Welfare To Work Plan Rights and Responsibilities
- WTW 2 (12/05) - Welfare to Work Plan Activity Assignment
- WTW 4 (8/04) - Notice to Other Parent
- WTW 5 (5/99) - Welfare to Work Program Notice
- WTW 8 (6/04) - Student Financial Aid Statement Welfare to Work Supportive Services
- WTW 9 (7/99) - Welfare to Work Appraisal Appointment Letter
- WTW 10(07/99) - Request For Welfare to Work Third Party Assessment
- WTW 11 (7/99) - Welfare to Work/Cal-Learn Supportive Service Overpayment/Underpayment Notice
- WTW 12 (7/99) - Welfare to Work/Cal-Learn Supportive Service Repayment Agreement
- WTW 13 (7/99) - Welfare to Work/Cal-Learn Supportive Service Overpayment Final Notice
- WTW 16 (12/05) - Grant-Based On-The Job Training Participation: Voluntary Consent Form
- WTW 16A (6/06) - Examples Of Family Income (Region 1)
- WTW 16B (6/06) - Examples Of Family Income (Region 2)
- WTW 17 (12/05) - Waiver Of CalWORKs Learning Disabilities Screening And/Or Evaluation
- WTW 20 (12/05) - Permission To Release Learning Disabilities Information
- WTW 26 (8/03) - Good Cause Determination Guidelines
- WTW 27 (10/03) - Request For Good Cause Determination
- WTW 29 (9/03) - Plan To Stop A Welfare To Work Sanction
- WTW 31 (10/06) - Request To Stop A Welfare To Work Sanction
- WTW 32 (10/03) - Welfare To Work Compliance Plan
- WTW 34 (4/04) - Welfare To Work Family Reunification Plan
- WTW 37 (7/09) - Permission To Release Domestic Abuse Information When Moving To Another County