Right Column
Translated Spanish Forms Beginning With Letters M Through Z
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Tanslated Spanish Forms Beginning With Letters A Through L
For Spanish forms beginning with the following letters click below:
M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z
- M16_105 (7/02) - EBT Dormant Account
- M16_120A (7/02) - EBT Dormant Account Inform
- M16_120B (7/02) - EBT Account Aging - Suspend
- M16_120C (7/02) - EBT Dormant Account - Reactivate
- M16_215 (7/02) - EBT Availability
- M16_325A (7/02) - EBT Exemption Request
- M16_325B (7/02) - EBT Incomplete Document
- M16_325C (7/02) - EBT Exemption Deny
- M16_505A (7/02) - Designated Alternate Cardholder 7
- M16_505B (7/02) - Designated Alternate Cardholder - Need Additional Facts
- M16_505D (7/02) - Designated Cardholder - Deny
- M20_353C (6/98) - Fraud, Penalty Applied to AU
- M20_353D (6/98) - Fraud, Penalty Applied to AU
- M20_353F (6/98) - Fraud, Penalty Stops - Change
- M40_105 (10/95) - Failed to Provide SSN/Cooperate - Change
- M40_105A (10/95) - Failed to Provide SSN/Partial Approval
- M40_105B (7/98) - Change: Required Documentation Received, Immunization
- M40_105C (7/98) - Change: Required Documentation NOT Received, Immunization
- M40_105D (7/98) - Change: Required Documentation Received, School Attendance
- M40_105E (7/98) - Change: Documentation Not Received, School Attendance
- M40_105I (3/00) - Deny: SFIS Requirements, Failure to Cooperate
- M40_105J (3/00) - Deny: SFIS Requirements, Refusal to Cooperate
- M40_107A (11/02) - Other: CalWORKs 60-Month Time Limit, Time on Aid (no previous NOA issued)
- M40_107B (11/02) - Other: CalWORKs 60-Month Time Limit, Time on Aid at Redetermination or Application (previously noticed)
- M40_107C (11/02) - Other: CalWORKs 60-Month Time Limit, Time on Aid at 54th and 58th
- M40_107E (4/04) - Change: CalWORKs 60-Month Time Limit, 60th month On Aid
- M40_107F (11/02) - Other: CalWORKs 60-Month Time Limit, Extended Beyond 60th month On Aid
- M40_107f1 (4/04) - Other: CalWORKs 60-Month Time Limit, Extended Beyond 60th month On Aid
- M40_107f2 (4/04) - Change: CalWORKs 60-Month Time Limit, Extender Met after 60th month
- M40_107G (11/02) - Discontinue: CalWORKs 60-Month Time Limit, 60th month on Aid
- M40_107H (11/02) - Change: CalWORKs 60-Month Time Limit, 60th month on Aid MFG child only
- M40_107I (11/02) - Discontinue: CalWORKs 60-Month Time Limit, 60th month on Aid MFG child only
- M40_107J (11/02) - Partial Approval: CalWORKs 60-Month Time Limit, Time-Out Adult
- M40_107J1 (4/04) - Approval: Application Processing, Approval after 60-month On Aid
- M40_107K (4/04) - Change: CalWORKs 60-Month Time Limit, Increase Grant due to TOA Adjustment
- M40_118A (8/96) - Application Processing DENY
- M40-129C (12/90) - Immediate Need -Deny - Miscellaneous
- M40_129D5 (10/95) - Immediate Need: Failed to Prove SSN App - Deny
- M40_157A1 (5/91) - Incomplete Citizen/Alien Documentation: Approval
- M40_171A (11/96) - Failure to Cooperate - DENY
- M40_171B (1/97) - Refusal to Cooperate - Denial
- M40_171C (6/98) - Approve: Application Processing, Basic Approval
- M40_171D (4/99) - Approve: Application Processing, Basic Approval
- M40_171M (7/87) - Denial: Application Processing, Not a California Resident
- M40_181D (5/91) - Denial: Application Processing, Not a California Resident
- M40_181E (7/98) - Denial: Application Processing, Not a California Resident
- M40_195A (7/84) - ICT Other, Reminder
- M41_401A (12/86) - Denial: Deprivation, No Deprivation
- M41_440F (6/98) - DENY: Deprivation, CalWORKs-U, 100 Hours Work Rule
- M41_450A (1/98) - Deprivation: Uniformed services - DENY
- M42_101B (5/87) - Age and School Requirements (Change)
- M42_101C (5/87) - Age and School Requirements (Discontinue)
- M42-207A (7/98) - DENY: Property, $2,000 Property Limit
- M42_221K (4/99) - Suspend: Property, Transfer w/out Fair Consideration
- M42_221L (4/00) - Suspend: Income, Transfer w/out Fair Consideration
- M43_119E (1/98) - Sponsored Non-Citizen: Some needs Met - Change
- M43_119G (1/98) - Sponsored Non-Citizen: Missing CA 72 - Change
- M43_119I (7/98) - Change: Sponsored Alien, Deemed & Family Property
- M43_119J (7/98) - Change: Sponsored Alien, Deemed Property
- M43_119K (7/98) - DENY: Sponsored Alien, Deemed Property & Family Property
- M43_119L (7/98) - DENY: Sponsored Alien, Deemed Property
- M43_119M (1/98) - Sponsored non-Citizen: Deemed Income-Change
- M44_113A (6/98) - Change: Income, Change in Income
- M44_113G1 (6/98) - Change: Income, Change in Income
- M44_133D (6/98) - Change: Income, Change in Income
- M44_133Q (6/98) - Change: Income, Change in Income
- M44_133S (10/02) - Minor Parent Financial Eligibility (Change)
- M44_133S1 (10/02) - Financial Eligibility (Change)
- M44_133T (10/02) - Minor Parent Financial Eligibility (Denial)
- M44_133V (10/02) - Minor Parent Financial Eligibility (Suspend)
- M44_207J (6/98) - DENY: Income, Financial Eligibility Test
- M44_207K1 (10/02) - Minor Parent Financial Eligibility (Discontinue)
- M44_207K2 (10/02) - Financial Eligibility (Discontinue)
- M44_207L (6/98) - SUSPEND: Income, Financial Eligibility Test
- M44_211L (7/01) - Change: Special Needs - Pregnancy
- M44_305 (9/97) - Minor Parent Change of Payee
- M44_307A (11/02) - Voucher Vendor Payment
- M44_307B (1/99) - Voucher/Vendor Payment
- M44_307C (7/98) - Voucher Vendor Payment
- M44_314 (11/00) - Increase in MAP
- M44_314a (11/00) - Other: Aid Payments
- M44_314b (11/00) - Change: Aid Payments
- M44_314c (9/97) - Change: Aid Payments
- M44_315b (9/98) - CHANGE: Aid Payment Levels, ICT between Reg-2
- M44_340 (4/00) - Approval: Underpayments, Underpayment Adjustment
- M44_340A (7/05) - Approval: Underpayments, Underpayment Adjustment
- M44_350A (1/98) - Change: Excess Property Overpayment Adjustment w/out Good Faith
- M44_350E (1/98) - Change: Excess Property Overpayment Adjustment w/out Good Faith
- M44_350F (1/98) - Demand: Excess Property Overpayment Adjustment w/out Good Faith
- M44_350G (1/98) - Change: Excess Property Overpayment Adjustment w/Good Faith
- M44_350H (1/98) - Demand: Excess Property Overpayment Adjustment w/Good Faith - MFG
- M44_352A (1/98) - Demand: Notice of Overpayment - MFG
- M44_352C (1/98) - Change: Overpayment Recovery - MFG
- M44_352D (1/98) - Change: Priority order Overpayment Recoupment - MFG
- M44_352G (1/98) - Demand: Overpayment - MFG
- M44_401A (6/98) - Approve: Hardship Supplement RISP - MF G
- M44_401B (6/98) - Deny: Hardship Supplement RISP - MFG
- M81_215A (6/98) - DENY: Aid Payments, Diversion payment provided
- M81_215B (6/98) - DENY: Aid Payments, Diversion services provided
- M81_215D (6/98) - Change: Aid Payments, Diversion Repayment Stops
- M81_215E (6/98) - Other time limit, Diversion
- M81_215F (6/98) - Other time limit, Diversion
- M82-506 (6/98) - Change: Assignment of Support Rights, Failure to Cooperate
- M82-506A (6/98) - Partial Approval: Assignment of Support Rights, Failure to Cooperate
- M82-510A (6/98) - Change: Support Process/Assignment, Cooperate
- M82-820A (1/00) - Deny: AU Composition - No Eligible Person
- M82-832A (2/99) - Change: Aid Payments, Fleeing Felons
- M82-832B (2/99) - Partial Approval: Application Processing, Fleeing Felons
- M82-832C (1/99) - Partial Approval: Application Processing, Drug Felons
- M82-832D (1/99) - Change: Aid Payments, Drug Felons
- M82-832E (12/99) - Change: Aid Payments, Eligible Person Leaving AU
- M82-836A (8/91) - Denial: Au Composition, Unborn not Eligible for Aid
- M89_110 (1/98) - Exempt: Change
- M89_110A (1/98) - Non-Exempt Change
- M89_110B (1/98) - Exemption: Deny
- M89_201 (11/96) - Minor Parent exemption: Deny
- MT42_101.2A (8/04) - Fry vs Saenz Lawsuit 18 year old - (Rescind Discontinuance)
- MT42_101.2B (8/04) - Fry vs Saenz Lawsuit 18 year old - Change
- MT42_101.2C (8/04) - Fry vs Saenz Lawsuit 18 year old - Change
- MT42_101.2D (11/04) - Fry vs Saenz Lawsuit Age Requirement - Change
- MT42_101.2E (11/04) - Fry vs Saenz Lawsuit Age Requirement - Discontinue
- NA 200 (1/02) - Multipurpose
- NA 211 (1/00) - Notice of Action
- NA 274E (07/99) - Continuation Page Overpayment Computations (for 1/1/98 & after)
- NA 281 (04/00) - Underpayment Amount Owed (For Underpayment Occurring On Or After 01/01/98)
- NA 290 (01/02) - Multipurpose Required Form - Substitute Permitted
- NA 530 (11/02) - 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
- NA690 (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 791 (06/01) - Notice of Action - Approval/Denial/Change
- NA 801 (11/99) - Notice of Action
- NA 802 (11/99) - Notice of Action
- NA 803 (11/99) - Notice of Action (Continued)
- 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 (1/01) - Notice of Action - Transportation Approval
- NA 821 (1/01) - Notice of Action - Transportation Approval/Denial
- NA 822 (1/01) - Notice of Action - Transportation Change
- NA 823 (8/00) - Ancillary Approval/ Denial
- NA 824 (4/99) - Notice of Action
- NA 825 (8/00) - Notice Of Action - Payment Adjust Transportation
- NA 827 (7/99) - Notice of Action - Recoupment of Unused Advance Payment
- NA 828 (7/99) - Notice of Action - Transportation and Ancillary Exp Overpayment
- NA 832 (1/08) - Notice of Action - CCP Approval
- NA 833 (1/08) - 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 (12/06) - 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 (6/99) - Notice of Action - Inelegible
- NA 844 (8/99) - Notice of Action - Adequate Progress
- NA 845 (12/06) - Notice Of Action - Welfare-To-Work Plan
- NA960XQR (7/04) - Stop Aid; Report Not Received
- NA960YQR (7/04) - 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 993 (4/99) - Food Stamp Notice Of Discontinuance
- NA 995 (2/00) - Food Stamp Notice Of Denial/Disqualification For The California Food Assistance Program
- NA 1205 (11/99) - 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 Stamp 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 1239 (5/04) - Continuation Page - Quarterly Reporting Budget
- NA 1240 (5/05) - Food Stamp Overissuance & Dormant EBT account
- NA Back 9 - Your Hearing Rights
- 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 104 (12/06) - In-Home Supportive Services Individual Provider Benefits and Services Information
- PUB 129 (01/04) - Child Abuse Reporting And You - What Happens When A Report Is Made?
- PUB 132 (01/05) - The California Child Abuse & Neglect Reporting Law
- 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 235 (1/04) - Office of Child Abuse Prevention Brochure
- PUB 244 (1/04) - ESTABLISHING PATERNITY FOR YOU AND YOUR CHILD
- PUB 269 (1/05) - Child Car Seat Law
- PUB 270 (12/05) - Never Shake a Baby - Brochure
- PUB 271 (5/05) - Never Shake a Baby - Color Brochure
- PUB 275 (04/07) - 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 337 (1/04) - STATEWIDE FINGERPRINT IMAGING SYSTEM
- PUB 339 (01/04) - Foster Care Ombudsman Brochure
- PUB 344 (01/04) - Giving A Child A Permanent Home - Choices For Relatives This is a VERY LARGE file. Please download it to your computer prior to opening it by using the instructions from item #2 on this page: Tips for Using Adobe PDF Files
- PUB 367 (01/04) - Reach For Your Dreams With Cal-Learn
- PUB 370 (10/05) - Public Benefits For Asylees In California
- PUB 373 (Print 8.5 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 (1/04) - California Electronic Benefit Transfer (EBT) Card - The easy, safe, and convenient way to receive your food stamp benefits. Single Column
- 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
- PUB 389 (01/04) California Electronic Benefit Transfer (EBT) Card - How To Use Your EBT Card To Make A Purchase. Single Column
- PUB 390 (01/04) California Electronic Benefit Transfer (EBT) Card - How To Use Your EBT Card To Buy Food. Single Column
- 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 (01/04) - 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 (1.4MB)
- PUB 402 (12/02) - Safely Surrendered Baby Campaign Wallet Size
- PUB 403 (6/05) - We Gladly Accept EBT (Poster size 11" x 17")
- PUB 412 (4/04) - State Hearing Information
- PUB 415 (1/06) - California Loves Kids
- PUB 428 (11/07) - It's Your Money Claim It & Save It
- PUB 429 (11/07) - It's Your Money You Earned It - Now Claim It And Save It - Flyer
- 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 (04/03) - Quarterly Eligibility/Status Report
- QR 7A (4/03) - How To Fill Out Your QR 7 Quarterly Eligibility/Status Report
- 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 (4/04) - Food Stamp Notice Of Expiration Of Certification
- QR 377.4 (1/04) - Food Stamp Notice Of Change For Quarterly Reporting Household
- QR 377.5 (2/04) - 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 44 (5/03) Refugee Cash Assistance (RCA) Notice Of No Good Cause Determination And Compliance Plan Appointment
- RS 3 (5/03) Service Provider Referral/Notification Form
- RS 36 (3/08) 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 State Run 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 155 (05/99) - Voluntary Placement Agreement - Placement Request
- SOC 156 (08/99) - Agency - Foster Parents Agreement Child Placed by Agency in Foster Home
- SOC 295 (02/00) - Application for Social Services
- SOC 310 (01/03) - STATEMENT OF FACTS FOR IN-HOME SUPPORTIVE SERVICES
- SOC 332 (6/06) - In-Home Supportive Services (Recipient/Employer Responsibility Checklist)
- SOC 341 (12/06) - Report Of Suspected Dependent Adult/Elder Abuse
- SOC 341A (03/03) - Statement Acknowledging Requirement To Report Suspected Abuse Of Dependent Adults And Elders
- SOC 369 (03/01) - Agency-Relative Guardianship Disclosure
- SOC 404 (08/00) - 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) - In-Home Supportive Services (IHSS) Employee's Claim For Workers' Compensation Benefits Notice Of Potential Eligibility For Benefits
- SOC 426 (09/02) - Personal Care Services Program Provider/Enrollment Agreement
- 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 455 (1/99) - Authorization for State Reimbursement of Interim Assistance
- 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 (07/04) - Relative Or Non-Relative Extended Family Member Caregiver Assessment
- SOC 825 (6/06) Protective Supervision 24-Hours-A-Day Coverage
- 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 (3/08) - Notice of Child Abuse Central Index Listing
- SOC 833 (3/08)- Child Abuse Central Index Listing Grievance Procedures
- SOC 834 (3/08) - Request for Grievance Hearing
- SSGP 45 (10/07) - The State Supplemental Grant Program (SSGP)
- SSP 4A (1/99) - APPLICATION AND VERIFICATION FOR SPECIAL CIRCUMSTANCES PROGRAM
- SSP 14 (09/99) - Authorization For Reimbursement Of Interim Assistance Granted Pending SSI/SSP Eligibility Determination
- SSP 17 (4/99) - Notice Of Action Right To Request A State Hearing On Interim Assistance
- SSP 18 (9/07) - 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 2120 (8/00) - Welfare To Work Referral
- TEMP 2131(5/99) - Addendum To Food Stamp Application
- TEMP 2146 (7/99) - WELFARE TO WORK NOTICE AND GAIN CONTRACT AMENDMENT
- TEMP 2147 (7/99) - NEW GAIN CAUSE DETERMINATION/COMPLIANCE AND CAL-LEARN REQUIREMENTS - GAIN CONTRACT AMENDMENT AND INFORMING NOTICE
- 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 2166 (8/99) - Work Pays Notice - Recommended Form
- TEMP 2171 (09/99) - 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 (65K)
- TEMP 2177 (11/99) - CFAP Work Rule
- TEMP 2179 (9/00) - Welfare May Owe You Money
- TEMP 2181 (4/00) - Notice Of Action
- TEMP 2183 (6/00) - GOT A JOB?
- TEMP 2190 (06/01) - Important Notice For CalWORKs Recipients (Multilingual)
- Temp 2193 (Eng/Sp) (5/06) - Notice To All Food Stamp Recipients
- Temp 2190 (0601) - important notice for calworks recipients (multilingual)
- Temp 2193A (Eng/Sp) (5/06) - Notice To All Food Stamp Recipients
- TEMP 2200 (02/02) - CalWORKs Welfare-To-Work Activities Review Request Form
- TEMP 2201 (7/02) - Cash Aid/Food Stamp Electronic Benefit Transfer - EBT Request For A Designated Alternate Card Holder/Authorized Representative
- TEMP 2202 (7/02) - Cash Aid/Food Stamp Electronic Benefit Transfer - EBT Service Request
- TEMP 2203 (7/02) - Request For Cash Aid Electronic Benefit Transfer - EBT Exemption
- TEMP 2206 (4/02) - Notice Of Action
- TEMP 2207 (5/02) - Notice Of Action
- TEMP 2208 (4/02) - Notice Of Action
- TEMP 2209 (4/02) - Notice Of Action
- TEMP 2211 (4/02) - Notice Of Action
- TEMP 2212 (5/02) - Notice Of Action
- TEMP 2214 (1/05) - Additional Information about EBT
- TEMP 2215 (7/02) - Electronic Benefit Transfer (EBT) Important Information
- TEMP 2216 Multilingual (07/03) - Welfare May Owe You Money
- 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 2225 ENG/SP (9/06) Notice To All Food Stamp Recipients
- TEMP 2226 (7/06) ENG/SP - New Rules For Homeless Assistance For Persons Eligible For Cash Aid
- TEMP 2227 ENG/SP (9/06) Important - Figuring Food Stamp Benefits
- TEMP 2229 (3/07) ENG/SP - Important Notice - KinGAP Informing Notice
- TEMP 2230 (9/07) ENG/SP - Important Notice To Food Stamp Households
- TEMP 2232 (4/08) Notice of Possible Listing on the Child Abuse Central Index
- TEMP CA 600 (4/99) - Annual Review For Cash Aid And Food Stamps
- TEMP CW 101A (1/99) - Immunizations Currently Recommended For Children Under The Age Of Six
- TEMP CW 2185 (2/02) - What You Should Know About The CalWORKs 60-Month Time Limit
- TEMP LIC 9163 (2/99) - Live Scan
- TEMP M40_107A (7/02) - Time on Aid (no previous NOA issued)
- TEMP NA 820A (5/02) - Notice Of Action
- TEMP NA 821A (6/99) - Notice Of Action
- TEMP NA 823A (6/99) - Notice Of Action
- TEMP NA 1225 (8/01) - Underpayment Computation
- TEMP NA 1228 (6/01)
- TEMP NA 1229 (6/01)
- TEMP NA 1230 (1/02) - Retroactive Approval - Child Citizen Act Of 2000
- TEMP NA 1231 (5/02) - Continuation Page - Underpayment computation Pre 1/1/98- Required Form- No Substitute Permitted
- TEMP NA 1232 (3/06) - Food Stamp Notice - EBT Account
- TEMP NA 1234 (1/03) - No Adjustment To WtW Time Limit Based On Learning Disabilities
- TEMP NA 1235 (9/02) - Adjustment To WtW Time Limit Based On Learning Disabilities
- TEMP NA 1236 (9/02) - Retroactive Eligibility - Deny (MBSAC)
- TEMP NA 1237 (9/02) - Retroactive Eligibility (MBSAC)
- TEMP NA 1238 (7/04) - Food Stamp Notice - EBT Account Adjustment
- TEMP NA 1239 (3/04) - Food Stamp Notice of Approval/Termination Transitional Benefits
- TEMP QR 1 (8/03) - New Reporting Requirements For CalWORKs And Food Stamp Recipients
- TLR 1 (10/05) - Trustline Registry (The California Registry Of In-Home Child Care Providers Subsidized Application)
- 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 (08/04) - 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 (7/99) - 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
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