Notice of Action Templates

This form is used by the state of California to provide a continuation page for the Notice of Action (Form NA274H). It is specifically used for overpayment computations between June 1, 2020, and May 31, 2021.

This form is used for notifying individuals in California about a 60-month time limit for certain actions.

This form is used for providing a continuation page for the NA531 Notice of Action. It includes a 60-month time limit and budget information. It is specific to the state of California.

This form is used for notifying individuals in California that their action or request has been approved.

This Form is used for notifying individuals in California about the action taken for recertification purposes in regards to their education.

This form is used for notifying individuals in California of the denial of an action, such as a request or application, typically related to educational matters.

This form is used for notifying the California Department of Education about a change in family circumstances that may affect a student's eligibility for certain educational services or programs.

This form is used for applying for the Assistance Dog Special Allowance (ADSA) in California. It is a notice of action to inform the applicant that their application has been approved.

This document is used to provide written notice of a special education action in the state of Idaho. It notifies the recipient of a change or decision related to their child's special education services.

This Form is used for notifying individuals in California about the amount of overpayment owed for overpayments that occurred between June 1, 2021, and May 31, 2022.

This form is used for notifying individuals in California about the overpayment amount owed for overpayments that occurred on or after June 1, 2022.

This Form is used for notifying individuals in California about the continuation of a Notice of Action regarding an underpayment amount owed. It applies to underpayments occurring on or after June 1, 2022.

This form is used for notifying individuals in California about a specific action that has been taken regarding their case or application.

This Form is used for notifying individuals in California about the denial of their application for the Assistance Dog Special Allowance (ADSA) in a large print format.

This form is used for notifying the denial of the Assistance Dog Special Allowance (ADSA) in California.

This form is used for receiving notifications regarding changes to your CalFresh EBT account in California. It informs you about any actions taken or updates made to your account.

This form is used for notifying applicants of the outcome of their application for the Commodity Supplemental Food Program (CSFP) in California.

This form is used to notify individuals in the Los Angeles County, California Medi-Cal Specialty Mental Health Program about an action or assessment. It is available in Armenian.