This version of the form is not currently in use and is provided for reference only. Download this version of Form ADSA1L for the current year.

Form ADSA1L Assistance Dog Special Allowance (Adsa) Program Application for Benefits - California

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What Is Form ADSA1L?

This is a legal form that was released by the California Department of Social Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the ADSA1L Assistance Dog Special Allowance (Adsa) Program?
A: The ADSA1L Assistance Dog Special Allowance (Adsa) Program is a program in California that provides financial assistance to individuals with disabilities who have a certified assistance dog.

Q: Who is eligible for the ADSA1L Assistance Dog Special Allowance (Adsa) Program?
A: To be eligible for the ADSA1L Assistance Dog Special Allowance (Adsa) Program, you must be a California resident, have a certified assistance dog, and meet certain income requirements.

Q: What is the purpose of the ADSA1L Assistance Dog Special Allowance (Adsa) Program?
A: The ADSA1L Assistance Dog Special Allowance (Adsa) Program provides financial assistance to help offset some of the costs associated with owning and caring for a certified assistance dog.

Q: How do I apply for the ADSA1L Assistance Dog Special Allowance (Adsa) Program?
A: To apply for the ADSA1L Assistance Dog Special Allowance (Adsa) Program, you need to complete and submit the ADSA1L application form to the California Department of Social Services.

Q: What documents do I need to submit with my ADSA1L Assistance Dog Special Allowance (Adsa) Program application?
A: You will need to submit a completed ADSA1L application form, proof of disability, proof of residency, proof of income, and proof of certification for your assistance dog.

Q: How much financial assistance can I receive through the ADSA1L Assistance Dog Special Allowance (Adsa) Program?
A: The amount of financial assistance you can receive through the ADSA1L Assistance Dog Special Allowance (Adsa) Program depends on your income. The maximum monthly allowance is $50.

Q: How often do I need to renew my ADSA1L Assistance Dog Special Allowance (Adsa) Program benefits?
A: You need to renew your ADSA1L Assistance Dog Special Allowance (Adsa) Program benefits every two years. You will receive a renewal notice from the California Department of Social Services.

Form Details:

Released on October 1, 2019;
The latest edition provided by the California Department of Social Services;
Easy to use and ready to print;
Quick to customize;
Compatible with most PDF-viewing applications;
Fill out the form in our online filing application.

Download a fillable version of Form ADSA1L by clicking the link below or browse more documents and templates provided by the California Department of Social Services.