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This form is used for reporting data incidents to the Social Security Administration (SSA) in California.

This form is used for notifying individuals that their request to approve the Relative Caregiver (ARC) payment in California has been approved.

This Form is used for notifying individuals in California about the 24-month time clock limit for their participation in the welfare-to-work program. It serves as a reminder that their eligibility for these benefits will expire after 24 months of participation.

This form is used for canceling electronic notifications in California. It allows individuals to opt out of receiving electronic notifications from certain entities or organizations.

This document is used for completing an electronic notification agreement in the state of California. It allows individuals to consent to receive notifications electronically instead of through traditional mail.

This Form is used for notifying an individual of the denial of their home assessment or approval in California.

This form is used for notifying individuals in California that their action is being discontinued.

This document is used for informing CalFresh recipients in California about the intercounty transfer of their benefits. It provides important information regarding the transfer process and any changes that may occur.

This document is used for informing CalFresh beneficiaries in California about the receiving of an intercounty transfer.

This form is used for notifying kinship-guardians in California about a specific action or notice. It is intended for individuals who have legal guardianship over a family member's child.

This Form is used for notifying Group Homes, Short-Term Residential Treatment Centers, Foster Family Agencies, Transitional Housing Placement-Plus Foster Care and Transitional Housing Placement Program in California about certain actions or changes.

This form is used for notifying actions related to the In-Home Supportive Services (IHSS) program in California. It provides information and updates regarding IHSS services for eligible individuals.

This form is used to notify individuals receiving In-Home Supportive Services (IHSS) in California of any actions or changes related to their services.

This form is used for notifying individuals receiving In-Home Supportive Services (IHSS) in California about their share of cost.

This Form is used for notifying individuals enrolled in the In-Home Supportive Services (IHSS) program in California about their share of cost.

This form is used for notifying individuals about the termination of In-Home Supportive Services (IHSS) in California.

This form is used for notifying individuals in California that their In-Home Supportive Services (IHSS) is being terminated. It provides information on the action being taken and the reasons for the termination. If you receive this notice, it is important to review it carefully and take any necessary steps to address the termination of IHSS services.

This form is used for notifying changes in the In-Home Supportive Services (IHSS) program in California. It notifies recipients of actions or decisions regarding their IHSS benefits.

This form is used for notifying individuals receiving In-Home Supportive Services (IHSS) in California about changes in their eligibility and continuation of services.

This form is used for notifying individuals in California about changes in their In-Home Supportive Services (IHSS) benefits. It serves as a notice of action regarding any modifications or adjustments to the IHSS program.

This Form is used for notifying individuals in California who have been denied In-Home Supportive Services (IHSS). It provides information on the reasons for the denial and any steps that can be taken to appeal the decision.

This form is used for providing notice of action to inform individuals that their application for In-Home Supportive Services (IHSS) in California has been denied.

This form is used for the approval continuation of In-Home Supportive Services (IHSS) in California. It is a notice of action that informs individuals of the decision regarding their IHSS eligibility.

This form is used for notifying individuals in California about the approval of their In-Home Supportive Services (IHSS) application. It serves as a notice of action regarding their IHSS approval.

This form is used for notifying individuals in California about an overissuance of CalFresh benefits and a dormant EBT account.

This Form is used for providing a continuation page for notifying individuals about underpayment amount owed in the state of California, for underpayments occurring on or after October 1, 2013.

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