Right Column
On-line Forms and Publications M - P
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Notice of Action Documents (used by county governments)
N Forms
- NA Back9 - Your Hearing Rights
- NA 200 (6/00) - Multipurpose
- NA 210 (11/99) - Discontinue, Suspend Financial Eligibility
- NA 213 (11/99) - Deny - Financial Eligibility
- NA 214 (4/00) - Discontinue, Suspend Transfer of Property
- NA 215 (1/00) - Continuation Page, Sponsor Non Citizens Deemed Income
- NA 216 (11/99) - Sponsored Non Citizens Property
- NA 217 (7/99) - Diversion
- NA 218 (1/00) - Diversion
- NA 219 (11/99) - Property
- NA 270 (1/00) - Continuation Page
- NA 271 (6/00) - Continuation Page - Family Income Computations - Cash Aid
- NA 274 (4/99) - Continuation Page Overpayment Computations (prior to 10-1-89)
- NA 274B (4/99) - Continuation Page Overpayment Computations (for 10/1/89 to 8/31/91)
- NA 274C (4/99) - Continuation Page - Overpayment Computations (for 9/1/91 to 8/31/95)
- NA 274D (1/00) - Continuation Page - Overpayment Computations (Ortega 9/1/95 to 12/31/97)
- NA 274E (7/99) - Continuation Page - Overpayment Computations (for 1/1/98 & after)
- NA 275 (4/99) - Continuation Page - Overpayment Adjustment Computation - Cash Aid
- NA 277 (1/00) - Continuation Page Optional Persons Transfer of Property
- NA 278 (1/00) - Discontinue/Suspend Optional Persons Transfer of Property
- NA 279 (1/00) - Excess Property (with Good Faith)
- NA 280 (1/00) - Excess Property (w/o Good Faith)
- NA 281 (4/00) - Continuation Page (Underpayment Computations for 1/1/98 and after)
- NA 290 (1/02) - Multipurpose Required Form - Substitute Permitted
- NA 300 (1/99) - Continuation Page - Recipient Financial Eligibility test
- NA 301 (1/99) - Continuation Page - Applicant Financial Eligibility test
- NA 530 (11/02) - 60 Month Time Limit - Required Form - No Substitute Permitted
- NA 531 (6/04) - Continuation Page - 60 Month Time Limit - includes Budget
- NA 532 (1/03) - Continuation Page 60 Month Time Limit Discontinue - Includes Budget
- 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 791 (06/01) - Approval/Denial/Change
- NA 801 (11/99) - Notice Of Action GAIN (Manual Process)
- NA 802 (11/99) - Notice Of Action GAIN (Automated)
- NA 816 (12/06) - Notice Of Action - Lowering Cash Aid
- NA 817 (12/06) - Notice Of Action - Changing Your Cash Aid
- 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 (01/08) - Notice of Action - CCP Approval
- NA 833 (01/08) - Notice of Action - Child Care Change
- NA 834 (01/08) - Notice of Action - Child Care Denial
- NA 835 (01/08) - Notice of Action - Child Care Discontinuance
- NA 840 (12/06) - Notice Of Action - Welfare-To-Work Plan
- NA 840A (10/03) - Notice Of Action - Determination Of Good Cause/No Good Cause
- 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 (12/06) - Notice Of Action - Welfare-To-Work Plan
- NA 960X QR (7/04) - Notice Of Action - Stop Aid; Report Not Received
- NA 960Y QR (7/04) - Notice Of Action - Stop Aid; Report Incomplete
- 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 994 (11/00) - Food Stamp Notice Of Discontinuance (Failure to Meet Non-Assistance CFAP Work Requirement (Violation Prior To Three Consecutive Month Grace Period)
- NA 995 (2/00) - Food Stamp Notice of Denial/Disqualification For The California Food Assistance Program
- NA 996 (11/00) - Food Stamp Notice Of Discontinuance (Failure to Meet Non-Assistance CFAP Work Rule (Violation After Receipt Of Three Consecutive Month Grace Period
- NA 1208 (2/00) - Basic Approval
- NA 1209 (02/02) - Notice of Action - Change In The Amount Of Kin-Gap Payment
- NA 1210 (04/02) - 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 1239 (05/04) - Continuation Page - Quarterly Reporting Budget
- NA 1240 (05/05) - Food Stamp Overissuance & Dormant EBT account
P Forms
- PUB 13 (3/07) - Your Rights Pamphlet (Requires 8 1/2" x 14" paper printed landscape)
- PUB 13 (3/07) - Your Rights Pamphlet (Large print 8 1/2" x 11")
- PUB 50 (01/04) - A Guide to California Adoptions
- PUB 56 (12/06) - The In-Home Supportive Services Program
- PUB 69 (01/04) - 2002/2003 County Forms Catalog
- PUB 104 (12/06) - In-Home Supportive Services Individual Provider Benefits and Services Information
- PUB 111 (7/04) - Deaf Access Program
- PUB 129 (12/06) - Child Abuse Reporting ... And You
- PUB 132 (01/05) - The California Child Abuse & Neglect Reporting Law
- PUB 179 (3/08) - American Sign Language - Signs For Work Or What To Do Until The Interpreter Arrives
- PUB 179A (3/08) - A Manual Communication Guide For Field Officers
- PUB 190 (8/06) - How To Hire And Supervise Your In-Home Supportive Services (IHSS) Provider
- PUB 203 (1/04) - In-Home Supportive Services - Guide to Workers’ Compensation Benefits for Individual Providers
- PUB 220 (5/06) - California Directory of Resource Information for People Who Are Deaf and Hard of Hearing
- PUB 223 (01/04) - So, You Want To Open A Group Home For Children?
- PUB 240 (01/04) - Continuing Care Retirement Communities in California (Printing)
- PUB 240 (01/04) - Continuing Care Retirement Communities in California (Viewing)
- PUB 269 (1/05) - California Child Passenger Safety Law
- PUB 270 (12/05) - Never Shake a Baby - Brochure
- PUB 271 (8/07) - Never Shake A Baby
- PUB 275 (4/07) - Family Planning...Making the Commitment for a Healthy Future
- PUB 294 (12/04) - Assistance Dog Special Allowance (ADSA) Program Fact Sheet
- PUB 325 (01/04) - Your Right To Make Decisions About Medical Treatment (Print 8 1/2 X 14)
- PUB 326 (01/04) - Facts You Need To Know - Group Home Board Of Directors
- PUB 337 (1/04) - SFIS - Statewide Fingerprint Imaging System
- PUB 339 (01/04) - Foster Care Ombudsman Brochure
- PUB 341 (9/05) - Adoptions Services Bureau Career Opportunities
- PUB 344 (01/04) - Giving A Child A Permanent Home - Choices For Relatives
- PUB 367 (01/04) - Reach For Your Dreams With Cal-Learn
- PUB 370 (10/05) - Public Benefits For Asylees In California
- PUB 372 (05/01) - The Kindship Guardianship Assistance Payment Program
For more information: Services for the Deaf. - 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 379 (01/04) - Foster Care Ombudsman
- PUB 387 (12/03) - California Electronic Benefit Transfer (EBT) Card - The easy, safe, and convenient way to receive your food stamp benefits.
Single Column| Double Columns - PUB 388 (01/04) - California Electronic Benefit Transfer (EBT) Card - The easy, safe, and convenient way to receive your food stamp and cash benefits.
Single Column| Double Columns - PUB 389 (01/04) California Electronic Benefit Transfer (EBT) Card - How To Use Your EBT Card To Make A Purchase.
Single Column| Double Columns - PUB 390 (01/04) California Electronic Benefit Transfer (EBT) Card - How To Use Your EBT Card To Buy Food .
Single Column| Double Columns - PUB 391 (3/08) - Basic Medical Sign Language
- PUB 393 (12/06) - Notification of Parents' Rights - Child Care Center
- PUB 394 (12/06) - Notification of Parents' Rights - Family Child Care Home
- PUB 395 (4/07) - You Have Rights Too!
- PUB 396 (4/07) - Foster Youth Rights
- PUB 400 (3/06) - Safely Surrendered Baby Campaign Brochure
- PUB 401 (5/06) - Safely Surrendered Baby Campaign Poster - letter size
- PUB 401 (5/06) - Safely Surrendered Baby Campaign Poster - poster size (2MB)
- PUB 402 (12/02) - Safely Surrendered Baby Campaign Wallet Size
- PUB 403 (6/05) - We Gladly Accept EBT (Poster size 11" x 17")
- PUB 411 (11/07) - 50 Facts You Should Know About Child Abuse (Paper size 9" x 12" printed landscape)
- PUB 412 (Multilingual) (04/04) - State Hearing Information (Print Letter Size)
- PUB 412 (Multilingual) (04/04) - State Hearing Information (Print Tabloid Size)
- PUB 414 (9/07) - Crisis Nurseries Board Of Directors Booklet
- PUB 415 (1/06) - California Loves Kids
- PUB 420 (4/08) - Supplemental Security Income (SSI) Information for Transitioning Foster Youth
- PUB 421 (4/08) - Helping Your Child Receive Supplemental Security Income (SSI) For Youth with Disabilities
- PUB 422 (4/08) - Supplemental Security Income (SSI) for Foster Youth with Disabilities
- PUB 428 (11/07) ENG/SP - It's Your Money Claim It & Save It
- PUB 429 (11/07) ENG/SP - It's Your Money You Earned It - Now Claim It And Save ItTop