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” STATE HEARING REQUEST BEFORE THE STATE DEPARTMENT OF SOCIAL SERVICES County Case #_______________________ SSN ______________________________________ ______________________________________ ______________________ ____________________ First Name Last Name Phone Number Email Address ______________________________________________ _____________________ _____________ Address City ZIP TYPE OF HEARING REQUESTED IN PERSON HEARING TELEPHONE HEARING HOME HEARING (NOTE: Home hearing is only for people who are disabled and cannot get to the hearing location.) I, the undersigned hereby request a state hearing before the Department of Social Services against the County of ____________________________________ regarding: CAPI Cash Aid Child Care Food Stamps Homeless Assistance IHSS Medi-Cal Overpayment Underpayment WtW Other ___________________ REASONS FOR THIS HEARING REQUEST: The reasons for my state hearing request is that the county has incorrectly applied (1) the regulations and (2) the facts to my case incorrectly dur- ing the past 90 days from the date of this request relative to any actions\/determinations that the county has undertaken in my with or without an a timely and adequate notice of action or any actions taken without an adequate notice of action. AID PAID PENING DEMAND: I request that aid paid pending be issued on all notices of action mailed out to me by the county this month prior to the date that I have filed this request for a state hearing. POSITION STATENMENT REQUEST: I request that a position statement be made available to me two working days prior t the scheduled date of this hearing by mailing it to me and my repre- sentative if I request a telephone hearing or making it available for pick if it is an in-person hearing . AUTHORIZATION TO REPRESENT: I hereby authorize the organization mentioned below and any persons designed by them, including any attorney at law to be my representative in this mat- ter and any other matter, including any State Hearing filed on my behalf by said organization hereaf- ter. This authorization to represent and release is for the purpose of releasing any and all information to said organization or any persons designated by them, including any attorney. I further request that copies of all communication, including oral communications relative to this matter be directed to: ____________________________________ _____________________________ ___________________ Name of AR Organization Email: ____________________________________ _____________________________ ____________________ Address City ZIP I further declare that any withdrawal or conditional withdrawal of this case will be invalid and deemed to have been obtained by the county under duress unless signed by said organization or its representa- tive. I also request an interpreter for the state hearing. The language is: ____________________________ Additional reasons for this hearing are: (optional) ___________________________________________ County Case 1: County Case 2: County Case 3: SSN 1: SSN 2: Email Address: Address: City: ZIP: County of: Other: Name of AR: Organization: Email: Address_2: City_2: ZIP_2: I also request an interpreter for the state hearing The language is: Additional reasons for this hearing are optional: Check Box2: Off Check Box4: Yes Check Box3: Off Check Box5: Off Check Box6: Off Check Box8: Off Check Box9: Off Check11: Off Check Box12: Off Check Box13: Off Check14: Off Check 15: Off Check`7: Off Check `9: Off ”

” Need Support Services? CCWRO PAT 2010 CCWRO 1901 Alhambra Blvd. Sacramento, CA 95816 Phone: (916) 736-0616 Fax: (916) 736-2645 Cell: (916) 712-0071 E-mail: [email protected] OUR STAFF Kevin M. Aslanian, Executive Director Grace A. Galligher, Directing Attorney LEGAL ASSISTANCE, ANALYSIS OR INFORMATION, TRAINING & LITIGATION SUPPORT CONCERNING: AFDC\/CalWORKs WtW\/GAIN\/WORKFARE FOOD STAMPS REFUGEES GA\/GR MEDI-CAL Region 1 Alameda Contra Costa Los Angeles Marin Monterey Napa Orange San Diego San Francisco San Luis Obispo San Mateo Santa Barbara Santa Clara Santa Cruz Solano Sonoma Ventura Region 2 All other counties Family Size Nonexempt Max. Aid Payment Exempt Maximum Aid Payment (EMAP) 80% of AFDC NEMAP 80% of AFDC MAP Region 1 AFDC (Also known as CalWORKS) $345 561 694 828 941 1,057 1,162 1,265 1,367 1,469 $382 627 776 923 1,050 1,180 1,296 1,414 1,527 1,641 Family Size Nonexempt Max. Aid Payment Exempt Maximum Aid Payment (EMAP) 80% of AFDC MAP 80% of AFDC EMAP Maximum Basic Standard of Need (MBSAC) Region 2 $276 449 555 662 753 846 930 1,012 1,094 1,175 $306 502 621 738 840 944 1,037 1,131 1,222 1,313 $548 899 1,114 1,322 1,509 1,696 1,864 2,030 2,202 2,390 $326 533 661 788 897 1,007 1,104 1,205 1,302 1,398 $363 598 740 879 1,003 1,125 1,236 1,347 1,457 1,564 $261 426 529 630 718 806 883 964 1,042 1,118 $290 478 592 703 802 900 989 1,078 1,166 1,251 $520 854 1,058 1,258 1,435 1,614 1,770 1,932 2,088 2,273 CHILD CARE State Median Income Family Size 75% of Median Income 100% of Median income $3,386 3,386 3,628 4,031 4,676 5,321 5,442 5,563 5,684 5,805 $4,515 4,515 4,837 5,375 6,235 7,095 7,256 7,417 7,579 7,740 CHILD CARE? Who Is Eligible for 1. Persons who are getting CalWORKs money and working or participating in any WtW activity and need child care. 2. Persons who used to get CalWORKs money in the past 2 years if their gross income is below the 75% of the State median income (SMI). 3. Persons who used to get CalWORKs money longer than 2 years ago if their gross income is below the 75% of the SMI and there is enough money to pay for their child care. 4. Persons who have never gotten CalWORKs cash aid can still get child care if their income is below 75% of the SMI. However the eligibility (waiting) lists can be very long. CalWORKS Property Limits $3,000 liquid resources for households with a member over 60 and $2,000 for all other households $4,650 for a motor vehicle TOTALLY EXEMPT if used for work, as a home, for fishing or for self employment. Other exceptions available. Call CCWRO for more information How to Compute Income STANDARD DEDUCTION: $225 1. Subtract the Standard Deduction from the Gross Income. 2. Divide the remainder by one half. 3. Subtract that number from the MAP. 4. The difference will be the CalWORKs grant check amount. www.ccwro.org Maximum Basic Standard of Need (MBSAC) Layout design by APPEARANCES 916.920.7824 www.signandesign.com Food Stamp Changes Effective October 1, 2010 FOOD STAMPS Family Size Max. Gross Income Elderly\/Disabled Gross Monthly Income 130% of Poverty Net Income Maximum Benefit Level $1,490 2,004 2,518 3,032 3,547 4,061 4,575 5,089 +$515 $1,174 1,579 1,984 2,389 2,794 3,200 3,605 4,010 +$406 $903 1,215 1,526 1,838 2,150 2,461 2,773 3,085 +$312 $200 367 526 668 793 952 1,052 1,202 +$150 For Each Add’l Person SHELTER DEDUCTION $458 (maximum) STANDARD UTILITY DEDUCTION $321 (maximum) STANDARD DEDUCTION 1-4 persons $142 4 persons $153 5 persons $179 6+ persons $205 HOMELESS HOUSING DEDUCTION $143 LIMITED UTILITY ALLOWANCE $94 TELEPHONE UTILITY ALLOWANCE $20 Family Size $10,830 14,570 18,310 22,050 25,790 29,530 33,270 37,010 40,750 44,490 3,740 Each Add’l Person 2009 ANNUAL FEDERAL POVERTY LEVEL Income DEPENDENT CARE DEDUCTION $200 under 2 yrs old $175 minors 2 and over AGED & DISABLED MEDI-CAL INCOME DISREGARDS Couple: $310 Individual: $230 2009 FEDERAL BENEFIT RATE Couple: $1,101 Individual: $674 STANDARD ALLOCATION: $337 HOME UPKEEP ASSISTANCE: $209 MEDICARE PREMIUMS PART A- $443 PART B- $96.40 QI-1- $96.40 RMA – Restaurant Meals Allowance – $84 Individual; $168 Couple SSI \/ CAPI BLIND DISABLED DISABLED MINOR $934 $850 $739 SINGLE SSI $924 $840 $729 CAPI $1,711 $1,489 COUPLE SSI $1,691 $1,469 CAPI $1,701 $1,459 SSI \/ CAPI FAMILY SIZE $3,000 $398 653 808 961 1,094 1,229 1,350 1,473 1,591 1,709 3,000 3,000 3,150 3,300 3,450 3,600 3,750 3,900 4,050 4,200PROPERTY LIMITS 1931(B) MBSAC TEST adults -S E C T IO N 1 9 3 1 (B ) For Each Add’l PersonadultsFamily Size Maintenance of Need 100% 120% 133% 185% 200% 250% $600 $903 1,215 1,215 1,526 1,838 2,150 2,461 2,773 3,085 3,396 3,708 +312 $1,083 1,457 1,457 1,831 2,205 2,579 2,953 3,327 3,701 4,075 4,449 +374 $1,201 1,615 1,615 2,030 2,444 2,859 3,273 3,688 4,102 4,517 4,931 +415 $1,670 2,247 2,247 2,823 3,400 3,976 4,553 5,130 5,706 6,283 6,859 +577 $1,805 2,429 2,429 3,052 3,675 4,299 4,922 5,545 6,169 6,792 7,415 +624 $2,257 3,036 3,036 3,815 4,594 5,373 6,153 6,932 7,711 8,490 9,269 +780 750 934 934 1,100 1,259 1,417 1,550 1,692 1,825 1,959 +14 % O F FE D ER A L P O V ER TY L EV EL SUBSTANTIAL GAINFUL ACTIVITY = $980 Pregnant Women & Infants up to One Year Healthy Families & Working Disabled Pgm. MEDI-CAL A&D FLP Couple: $1525 Individual: $1133 LONG TERM CARE MN\/QMB – $35 SSI\/SSP – $50 IN-KIND SUPPORT & MAINTENANCE (ISM) Couple: $337 $357 Individual: $224.66 $244.66 VTR PMV Page 1 Page 2 ”

” Need Support Services? LEGAL ASSISTANCE, ANALYSIS OR INFORMATION, TRAINING & LITIGATION SUPPORT CONCERNING AFDC\/CalWORKS WtW\/GAIN\/WORKFARE CalFRESH\/FOOD STAMPS REFUGEES GA\/GR MEDI-CAL OUR STAFF STAFF EMAIL ADDRESS ADDRESS TELEPHONE Kevin Aslanian, Executive Director [email protected] 1901 Alhambra Blvd. Phone (916) 736-0616 Grace Galligher, Directing Attorney [email protected] Sacramento, CA 95816 Fax (916) 736-2645 Seth Blackmon, Staff Attorney [email protected] www.ccwro.org Cell (916) 712-071 Region 1 Family Size CHILD CARE State Median Income Who Is Eligible for CHILD CARE? Family Size 70% – Annual State Median Income 70% – Monthly State Median Income 1. Persons who are getting CalWORKs money and working or participating in any WtW activity and need child care. 2. Persons who used to get CalWORKs money in the past 2 years if their gross income is below 75% of the State median income (SMI) 3. Persons who used to get CalWORKs money longer than 2 years ago if their gross income is below the 75% of the SMI and child money is available. Nonexempt Max. Aid Payment (MAP) Minimum Basic Standard of Care (MBSAC) Exempt Max. Aid Payment (EMAP) 1 2 3 4 5 6 7 8 9 10 Region 2 Family Size MAP EMAP $317 516 638 762 866 972 1069 1164 1258 1351 $351 577 714 849 966 1086 1192 1301 1405 1510 $559 916 1135 1347 1538 1729 1900 2069 2244 2436 1 2 3 4 5 6 7 8 9 10 $300 490 608 725 825 926 1016 1109 1198 1286 $334 550 681 809 923 1035 1137 1239 1340 1439 $530 870 1079 1282 1463 1645 1864 1969 2128 2317 Minimum Basic Standard of Care (MBSAC) 1 2 3 4 5 6 7 8 9 10 $39,369 39,396 42,216 46,896 54,408 61,908 63,312 64,728 66,132 67,536 $3,283 3,283 3,518 3,908 4,534 5,159 5,276 5,394 5,511 5,628 Coalition of California Welfare Rights Organizations, Inc. – CCWRO Family Size 1 2 3 4 5 6 7 8 9 10 $303 $498 $617 $734 $837 $941 $1,032 $1,126 $1,215 $1,306 CalWORKs (AFDC) Grant Levels Effective July 1, 1986 – 25 years Ago CalWORKs Property Limits $3,000 liquid resources for households with member over 60 and $2,000 for all other households $4,650 for a motor vehicle TOTALLY EXEMPT if used for work, as a home, for fishing How to Count Earned Income STANDARD DEDUCTION $112 1. Subtract the Standard Deduction from the Gross Income 2. Divide the remainder by one half 3. Subtract that number from the MAP or EMAP 4. The difference will be the CalWORKs benefit amount AFDC ( Also known as CalWORKs\/TANF) 2011 ANNUAL FEDERAL POVERTY LEVEL Family Size 1 2 3 4 5 6 7 8 Each Add’t Person Income $10, 890 $14,710 $18,530 $22,350 $26,170 $29,990 $33.810 $ 37,630 $3,820 Region 1 Alameda Contra Costa Los Angeles Marin Monterey Napa Orange San Diego San Francisco San Luis Obispo San Mateo Santa Barbara Santa Clara Santa Cruz Solano Sonoma Ventura Region 2 All other counties 1 2 3 4 5 6 7 8 Household (HH) Size $1,180 1,594 2,008 2,422 2,836 3,249 3,663 4,077 $414 $908 1,226 1,545 1,863 2,181 2,500 2,818 3,136 $319 $200 367 526 668 793 952 1052 1202 $150 Each Add’l Person Gross Monthly Income Elig. Stan. (130% FPL) Net Monthly Income Elig. Stan. (100% FPL) Maximum Benefits Level $459 (maximum) 1-3 persons-$147 4 persons-$155 5 persons-$181 6 persons-$208 $329 (maximum) $99 $20 $143 SSI\/CAPI SINGLES COUPLES M e d i – C a l Family Size Maintenance of Need 1931(b) recipient program 1931(b) for famliies with children from 6-18 yrs-100% 1931(b) for famliies with children from 1-5 yrs-133% Transitional Medi-Cal-185% Pregnant Women & Infants Up to 1 yrs.-200% Healthy Families & Working Disabled Program-250% 1 2 2 adults 3 4 5 6 7 8 9 10 $600 750 934 934 1,100 1,259 1,417 1,550 1,692 1,825 1,959 +14 398 653 653 808 961 1,094 1,229 1,350 1,473 1,591 1,709 +0 908 1,226 1,226 1,545 1,863 2,181 2,500 2,818 3,136 3,455 3,774 +319 1,207 1,631 1,631 2,054 2,478 2,901 3,324 3,748 4,171 4,595 5,019 +424 1,679 2,268 2,268 2,857 3,446 4,035 4,624 5,213 5,802 6,391 6,980 +589 1,815 2,452 2,452 3,089 3,725 4,362 4,999 5,635 6,272 6,910 7,548 +638 2,269 3,065 3,065 3,861 4,657 5,453 6,248 7,044 7,840 8,636 9,432 +796 Each Add’l Person SUBSTANTIAL GAINFUL ACTIVITY = $980 MEDI-CAL PROPERTY LIMITS FOR 1931(B) Property Limits Family Size $3,000 3,000 3,000 3,150 3,300 3,450 3,600 3,750 3,900 4,050 4,100 1 2 2adults 3 4 5 6 7 8 9 10 LONG TERM CARE MEDICARE PREMIUMS A&D INCOME LIMITS A&D INCOME DISREGARDS 2011 FEDERAL BENEFIT RATE 2011 CSRA LIMIT SSI CAPI SSI CAPI SSI\/CAPI $885 $875 $1,554 $1,534 $1,544 $830 $820 $1,407 $1,387 $1,397 $737 $727 BLIND DISABLED DIS. MINOR 2011 CSTA Limit $109,560 Community Spouse Maintenance Need: $2,739 Individual $674 Couple $1,011 Standard Allocation $337 Individual $1,138 Couple $1,536 Individual $240 Couple $310 MN\/QMB $35 SSI\/SSP $50 APPR. $6,840 PART A $461 PART B $115.40 * Effective 10\/11 revised 10-15-11 PART B $96.40 for individual eligible for the hold harmless Food Stamps ( Also known as SNAP and CalFresh) Elderly (over 60) and Disabled 100% of Shelter Deduction plus SUA & Medical Costs Deductions over $35 Note: No Gross Income Test for Elderly or Disabled HHs 100% OF THE CHILD CARE COSTS DEDUCTED From The Gross Income HOMELESS HOUSING DEDUCTION SHELTER DEDUCTION STANDARD UTILITY DEDUCTION LIMITED UTILITY ALLOWANCE TELEPHONE UTILITY ALLOWANCE TRAINING OFFER: If your office wishes training on how to use this document, please go to www.ccwro.org and complete the training request form. STANDARD DEDUCTION ”

” Property Limits How to Compute Income $225 1. Subtract the Standard Deduc- tion from the Gross Income 2. Divide the remainder by one half 3. Subtract that number from the MAP This will be the amount of the CalWORKs grant Region 1 Alameda Contra Costa Los Angeles Marin Monterey Napa Orange San Diego San Francisco San Luis Obispo San Mateo Santa Barbara Santa Clara Santa Cruz Solano Sonoma Ventura Region 2 All other counties. Need Support Services? LEGAL ASSISTANCE, ANALYSIS OR INFORMATION, TRAIINING, LITIGATION SUP- PORT CONCERNING AFDC\/CalWORKs WtW\/GAIN\/WORKFARE FOOD STAMPS REFUGEES GA\/GR MEDI-CAL OUR STAFF Grace A. Galligher, Directing Attorney Kevin M. Aslanian, Paralegal David K. Aslanian, Clerical Support CCWRO 1901 Alhambra Blvd. Sacramento, CA 95816 Tel. – 916-736-0616 FAX – 916-736-2645 CELL – 916-712-0071 e-mail – [email protected] webpage: ccwro.org A CCWRO publication – All rights Reserved – 80% of AfDC NEMAP 80% of AfDC EMAP 1 2 3 4 5 6 7 8 9 10 MiNiMuM BAsiC stANDArD of NEED $359 584 723 862 980 1,101 1,210 1,318 1,424 1,530 Also known as CalWORKs NoNEx- EMPt MAx. AiD PAyMENt $398 653 808 961 1,094 1,229 1,350 1,473 1,591 1,709 ExEMPt MAxiMuM AiD PAyMENt (EMAP) $504 828 1,026 1,220 1,392 1,565 1,717 1873 2,025 2,204 AFDC PErsoN $4,650 for a motor vehicle TOTALLY EXEMPT if used for work, as a home, for fishing or for self employment. Other exception available. Call CCWRO for more information $3,000 liquid resources for households with a member over 60 & $2,000 for all other households CalWORKs $318 522 646 769 875 983 1,080 1,178 1,273 1,367 Child Care State Median Income 80% of AfDC NEMAP $272 444 551 657 747 839 920 1,004 1,085 1,165 80% of AfDC EMAP 1 2 3 4 5 6 7 8 9 10 MiNiMuM BAsiC stANDArD of NEED $378 623 771 916 1,045 1,172 1,288 1,403 1,518 1,629 Also known as CalWORKs NoNEx- EMPt MAx. AiD PAyMENt $340 555 689 821 934 1,049 1,150 1,255 1,356 1,456 ExEMPt MAxiMuM AiD PAyMENt (EMAP) $532 872 1080 1,282 1,464 1,645 1,807 1,969 2,135 2,318 AFDC PErsoN $302 498 617 733 836 938 1,030 1,122 1,214 1,303 $287 467 578 690 784 881 968 1,054 1,139 1,224 Family Monthly Size Gross 1 $3,386 2 3,386 3 3,628 4 4,031 5 4,676 6 5,321 7 5,442 8 5,563 9 5,684 10 5,805 Who Is Eligible for Child Care 1. Persons who are getting CalWORKs money and working or participating in any WtW activity and need child care. 2. Persons who used to get CalWORKs money in the past 2 years if their gross income is below the 75% of the State median income (SMI). 3. Persons who used to get CalWORKs money longer than 2 years ago if their gross income is below the 75% of the SMI and there is enough money to pay for their child care. 4. Persons who have never gotten CalWORKs cash aid can still get child care if their income is below 75% of the SMI. However the eligibility (waiting) lists can be very long. Family Monthly Size Gross 1 $4,515 2 4,515 3 4,837 4 5,375 5 6,235 6 7,095 7 7,256 8 7,417 9 7,579 10 7,740 CCWRO PAT 2009 #3 Eff. 5-09 R e g i o n #1 R e g i o n #2 75% 100% STANDARD DEDUCTION 1 2 2 adults 3 4 5 6 7 8 9 10 2,257 3036 3036 3815 4594 5373 6153 6932 7711 8490 9269 + $780 4\/09 250% of fED. Pov. LEvEL HEALtHy fAMiLiEs & WorkiNg DisABLED ProgrAM PErsoNs MAiNtENANCE of NEED 4\/09 100% of fED. Pov. LEvEL 4\/09 133% of fED. Pov. LEvEL ProPErty LiMits $3,000 3,000 3,000 3,150 3,300 3,450 3,600 3,750 3,900 4,050 4,200 $600 750 934 934 1,100 1,259 1,417 1,550 1,692 1,825 1,959 +$14 903 1215 1215 1526 1838 2150 2461 2773 3085 3396 3708 +312 MEDI-CAL 4\/09 200% of fED. Pov. LEvEL PrEgNANt WoMEN & iNfACts uP to AgE of 1 gross MoNtHLy iNCoME 130% of PovErty NEt iNCoME MAxiMuM BENEfit LEvEL PErsoNs $867 1,167 1,467 1,767 2,067 2,367 2,667 2,967 +$300 $200 367 526 668 793 952 1,052 1,202 +$150 $1,127 1,517 1,907 2,297 2,687 3,077 3,467 3,857 +$390 $ 1,430 1,925 2,420 2,915 3,410 3,905 4,400 4,895 +$495 1-4 persons – $144 4 persons – $147 5 persons – $172 + 6 persons – $197ST A N D A R D D ED U C TI O N SHELTER DEDUCTION 1 2 3 4 5 6 7 8 $143 FOOD STAMPS HOMELESS HOUSING DEDUCTION DEPENDENT CARE DEDUCTION $200 under 2 yrs old $175 all others STANDARD UTILITY DEDUCTION $287 (maximum) MAx. gross iNCoME Eld.\/Dis. 1931(B) MBsAC tEst FUNDED BY THE LEGAL SERVICES TRUST FUND COMMISSION (IOLTA), THE EQUAL ACCESS FUNDS AND OTHER CONTRIBUTIONS 4\/09 120% fED. Pov. LEvEL 1083 1457 1457 1831 2205 2579 2953 3327 3701 4075 4449 +374 $ 398 653 808 961 1094 1229 1350 1473 1591 1709 CAPI $1,731 $1,504 SSI $954 $870 $756 COUPLESINGLE For Each Additional Person For Each Additional Person $446 (maximum) Aged & Disabled Medi-Cal Income Disregards Couple: $364 Individual: $230 A&D Income Limits Couple: $ 1141 Individual: $ 1081 Effective 4-1-09 SSI\/CAPI BLIND AGED OR DISABLED DISABLED MINOR 1 2 3 4 5 6 7 8 9 10 – – – – – – – – – – Section 1931(b) CCWRO PAT 2009 #2 Eff. 5\/09 4\/09 185% of fED. Pov. LEvEL TMC Effective Dates SSI\/CAPI $1,741 $1,514 SSI\/CAPI 2009 Annual Federal Poverty Level $10,830 14,570 18,310 22,050 25,790 29,530 33,270 37,010 40,750 44,490 3,740 1 Person 2 – 3 – 4 – 5 – 6 – 7 – 8 – 9 – 10 Substantial Gainful Activity $ 980 1805 2429 2429 3052 3675 4299 4922 5545 6169 6792 7415 + $624 12\/99 1670 2247 2247 2823 3400 3976 4553 5130 5706 6283 6859 $577 1,201 1615 1615 2030 2444 2859 3273 3688 4102 4517 4931 + $415 LIMILTED UTILITY ALLOWANCE TELEPHONE UTILITY ALLOWANCE $83 $20 CAPI $944 $860 $746 SSI $1,751 $1,524 Each Additional Person RMA-Restaurant Meals Allowance – $84 Individual; $168 Couple 2009 Federal Benefit Rate Individual Couple $674 $1,101 Standard Alloaction= $337 Home Upkeep Assistance =$209 Medicare Premiums PART A- $443 PART B- $96.40 QI-1- $96.40 Long Term Care MN\/QMB – $35 SSI\/SSP- $50 In-Kind Support & Maintenance (ISM) Individual Couple VTR $224.66 $337 PMV $244.66 $357 1 2 2 3 4 5 6 7 8 9 10 ”

” Property Limits How to Compute Income $225 1. Subtract the Standard Deduc- tion from the Gross Income 2. Divide the remainder by one half 3. Subtract that number from the MAP This will be the amount of the CalWORKs grant Region 1 Alameda Contra Costa Los Angeles Marin Monterey Napa Orange San Diego San Francisco San Luis Obispo San Mateo Santa Barbara Santa Clara Santa Cruz Solano Sonoma Ventura Region 2 All other counties. Need Support Services? LEGAL ASSISTANCE, ANALYSIS OR INFORMATION, TRAIINING, LITIGATION SUP- PORT CONCERNING AFDC\/CalWORKs WtW\/GAIN\/WORKFARE FOOD STAMPS REFUGEES GA\/GR MEDI-CAL OUR STAFF Grace A. Galligher, Directing Attorney Kevin M. Aslanian, Paralegal David K. Aslanian, Clerical Support CCWRO 1901 Alhambra Blvd. Sacramento, CA 95816 Tel. – 916-736-0616 FAX – 916-736-2645 CELL – 916-712-0071 e-mail – [email protected] webpage: ccwro.org A CCWRO publication – All rights Reserved – 80% of AfDC NEMAP 80% of AfDC MAP 1 2 3 4 5 6 7 8 9 10 MiNiMuM BAsiC stANDArD of NEED $345 561 694 828 941 1,057 1,162 1,265 1,367 1,469 Also known as CalWORKs NoNEx- EMPt MAx. AiD PAyMENt $382 627 776 923 1,050 1,180 1,296 1,414 1,527 1,641 ExEMPt MAxiMuM AiD PAyMENt (EMAP) $512 841 1,042 1,239 1,413 1,589 1,743 1,902 2,056 2,238 AFDC PErsoN $4,650 for a motor vehicle TOTALLY EXEMPT if used for work, as a home, for fishing or for self employment. Other exception available. Call CCWRO for more information $3,000 liquid resources for households with a member over 60 & $2,000 for all other households CalWORKs $306 502 621 738 840 944 1,037 1,131 1,222 1,313 Child Care State Median Income 80% of AfDC MAP $261 426 529 630 718 806 883 964 1,042 1,118 80% of AfDC EMAP 1 2 3 4 5 6 7 8 9 10 MiNiMuM BAsiC stANDArD of NEED $363 598 740 879 1,003 1,125 1,236 1,347 1,457 1,564 Also known as CalWORKs NoNEx- EMPt MAx. AiD PAyMENt $326 533 661 788 897 1,007 1,104 1,205 1,302 1,398 ExEMPt MAxiMuM AiD PAyMENt (EMAP) $540 885 1,097 1,302 1,486 1,670 1,835 1,999 2,168 2,353 AFDC PErsoN $290 478 592 703 802 900 989 1,078 1,166 1,251 $276 449 555 662 753 846 930 1,012 1,094 1,175 Family Monthly Size Gross 1 $3,386 2 3,386 3 3,628 4 4,031 5 4,676 6 5,321 7 5,442 8 5,563 9 5,684 10 5,805 Who Is Eligible for Child Care 1. Persons who are getting CalWORKs money and working or participating in any WtW activity and need child care. 2. Persons who used to get CalWORKs money in the past 2 years if their gross income is below the 75% of the State median income (SMI). 3. Persons who used to get CalWORKs money longer than 2 years ago if their gross income is below the 75% of the SMI and there is enough money to pay for their child care. 4. Persons who have never gotten CalWORKs cash aid can still get child care if their income is below 75% of the SMI. However the eligibility (waiting) lists can be very long. Family Monthly Size Gross 1 $4,515 2 4,515 3 4,837 4 5,375 5 6,235 6 7,095 7 7,256 8 7,417 9 7,579 10 7,740 CCWRO PAT 2009 #4 Eff. 7-09 R e g i o n #1 R e g i o n #2 75% 100% STANDARD DEDUCTION 1 2 2 adults 3 4 5 6 7 8 9 10 2,257 3036 3036 3815 4594 5373 6153 6932 7711 8490 9269 + $780 4\/09 250% of fED. Pov. LEvEL HEALtHy fAMiLiEs & WorkiNg DisABLED ProgrAM PErsoNs MAiNtENANCE of NEED 4\/09 100% of fED. Pov. LEvEL 4\/09 133% of fED. Pov. LEvEL ProPErty LiMits $3,000 3,000 3,000 3,150 3,300 3,450 3,600 3,750 3,900 4,050 4,200 $600 750 934 934 1,100 1,259 1,417 1,550 1,692 1,825 1,959 +$14 903 1215 1215 1526 1838 2150 2461 2773 3085 3396 3708 +312 MEDI-CAL 4\/09 200% of fED. Pov. LEvEL PrEgNANt WoMEN & iNfACts uP to AgE of 1 gross MoNtHLy iNCoME 130% of PovErty NEt iNCoME MAxiMuM BENEfit LEvEL PErsoNs $867 1,167 1,467 1,767 2,067 2,367 2,667 2,967 +$300 $200 367 526 668 793 952 1,052 1,202 +$150 $1,127 1,517 1,907 2,297 2,687 3,077 3,467 3,857 +$390 $ 1,430 1,925 2,420 2,915 3,410 3,905 4,400 4,895 +$495 1-4 persons – $144 4 persons – $147 5 persons – $172 + 6 persons – $197ST A N D A R D D ED U C TI O N SHELTER DEDUCTION 1 2 3 4 5 6 7 8 $143 FOOD STAMPS HOMELESS HOUSING DEDUCTION DEPENDENT CARE DEDUCTION $200 under 2 yrs old $175 all others STANDARD UTILITY DEDUCTION $287 (maximum) MAx. gross iNCoME Eld.\/Dis. 1931(B) MBsAC tEst FUNDED BY THE LEGAL SERVICES TRUST FUND COMMISSION (IOLTA), THE EQUAL ACCESS FUNDS AND OTHER CONTRIBUTIONS 4\/09 120% fED. Pov. LEvEL 1083 1457 1457 1831 2205 2579 2953 3327 3701 4075 4449 +374 $ 398 653 808 961 1094 1229 1350 1473 1591 1709 CAPI $1,691 $1,469 SSI $934 $850 $739 COUPLESINGLE For Each Additional Person For Each Additional Person $446 (maximum) Aged & Disabled Medi-Cal Income Disregards Couple: $364 Individual: $230 A&D Income Limits Couple: $ 1141 Individual: $ 1081 Effective 4-1-09 SSI\/CAPI BLIND AGED OR DISABLED DISABLED MINOR 1 2 3 4 5 6 7 8 9 10 – – – – – – – – – – Section 1931(b) CCWRO PAT 2009 #4 Eff. 7-09 4\/09 185% of fED. Pov. LEvEL TMC Effective Dates SSI\/CAPI $1,701 $1,459 SSI\/CAPI 2009 Annual Federal Poverty Level $10,830 14,570 18,310 22,050 25,790 29,530 33,270 37,010 40,750 44,490 3,740 1 Person 2 – 3 – 4 – 5 – 6 – 7 – 8 – 9 – 10 Substantial Gainful Activity $ 980 1805 2429 2429 3052 3675 4299 4922 5545 6169 6792 7415 + $624 12\/99 1670 2247 2247 2823 3400 3976 4553 5130 5706 6283 6859 $577 1,201 1615 1615 2030 2444 2859 3273 3688 4102 4517 4931 + $415 LIMILTED UTILITY ALLOWANCE TELEPHONE UTILITY ALLOWANCE $83 $20 EFFECTIVE 8\/06 CAPI $924 $840 $729 SSI $1,711 $1,489 Each Additional Person RMA-Restaurant Meals Allowance – $84 Individual; $168 Couple 2009 Federal Benefit Rate Individual Couple $674 $1,101 Standard Alloaction= $337 Home Upkeep Assistance =$209 Medicare Premiums PART A- $443 PART B- $96.40 QI-1- $96.40 Long Term Care MN\/QMB – $35 SSI\/SSP- $50 In-Kind Support & Maintenance (ISM) Individual Couple VTR $224.66 $337 PMV $244.66 $357 1 2 2 3 4 5 6 7 8 9 10 ”

” Need Support Services? LEGAL ASSISTANCE, ANALYSIS OR INFORMATION, TRAINING & LITIGATION SUPPORT CONCERNING AFDC\/CalWORKS WtW\/GAIN\/WORKFARE CalFRESH\/FOOD STAMPS REFUGEES GA\/GR MEDI-CAL OUR STAFF STAFF EMAIL ADDRESS ADDRESS TELEPHONE Kevin Aslanian, Executive Director [email protected] 1901 Alhambra Blvd. Phone (916) 736-0616 Grace Galligher, Directing Attorney [email protected] Sacramento, CA 95816 Fax (916) 736-2645 http:\/\/www.ccwro.org Kevin Cell (916) 712-0071 Region 1 Family Size CHILD CARE State Median Income Who Is Eligible for CHILD CARE? Family Size 70% – Annual State Median Income 70% – Monthly State Median Income 1. Persons who are getting CalWORKs money and working or participating in any WtW activity and need child care for children 12 unless the child is disabled. 2. Persons who used to get CalWORKs money in the past 2 years if their gross income is below 70% of the State median income (SMI) and need child care. 3. Persons who used to get CalWORKs money longer than 2 years ago if their gross income is below the 70% of the SMI, and they need child care, and if child care money is available Nonexempt Max. Aid Payment (MAP) Minimum Basic Standard of Care (MBSAC) Exempt Max. Aid Payment (EMAP) 1 2 3 4 5 6 7 8 9 10 Region 2 Family Size MAP EMAP $317 516 638 762 866 972 1069 1164 1258 1351 $351 577 714 849 966 1086 1192 1301 1405 1510 $579 943 1169 1387 1584 1781 1957 2131 2311 2509 1 2 3 4 5 6 7 8 9 10 $300 490 608 725 825 926 1016 1109 1198 1286 $334 550 681 809 923 1035 1137 1239 1340 1439 $546 896 1100 1320 1507 1694 1858 2028 2191 2386 Minimum Basic Standard of Care (MBSAC) 1 2 3 4 5 6 7 8 9 10 $39,369 39,396 42,216 46,896 54,408 61,908 63,312 64,728 66,132 67,536 $3,283 3,283 3,518 3,908 4,534 5,159 5,276 5,394 5,511 5,628 Coalition of California Welfare Rights Organizations, Inc. – CCWRO Family Size 1 2 3 4 5 6 7 8 9 10 $303 $498 $617 $734 $837 $941 $1,032 $1,126 $1,215 $1,306 CalWORKs (AFDC) Grant Levels Effective July 1, 1986 – 25 years Ago CalWORKs Property Limits $3,000 liquid resources for households with member over 60 and $2,000 for all other households $4,650 for a motor vehicle TOTALLY EXEMPT if used for work, as a home, for fishing How to Count Earned Income STANDARD DEDUCTION $112 1. Subtract the Standard Deduction from the Gross Income 2. Divide the remainder by one half 3. Subtract that number from the MAP or EMAP 4. The difference will be the CalWORKs benefit amount AFDC ( Also known as CalWORKs\/TANF) 2013 ANNUAL FEDERAL POVERTY LEVEL Family Size 1 2 3 4 5 6 7 8 Each Add’t Person Income $11, 490 $15,510 $19,530 $23,550 $27,570 $31,590 $35.610 $ 39,630 $4,020 Region 1 Alameda Contra Costa Los Angeles Marin Monterey Napa Orange San Diego San Francisco San Luis Obispo San Mateo Santa Barbara Santa Clara Santa Cruz Solano Sonoma Ventura Region 2 All other counties Effective 1\/13 More than 10 Add $22 for each extra person More than 10 Add $22 for each extra person 1 2 3 4 5 6 7 8 Household (HH) Size $1,21 1,640 2,069 2,498 2,927 3,356 3,785 4,214 $429 $931 1,261 1,591 1,921 2,251 2,581 2,911 3,241 $330 $200 367 526 668 793 952 1052 1202 $150 Each Add’l Person Gross Monthly Income Elig. Stan. (130% FPL) Net Monthly Income Elig. Stan. (100% FPL) Maximum Benefits Level $459 (maximum) 1-3 persons-$149 4 persons-$160 5 persons-$187 6 persons-$214 $331 (maximum) $104 $20 $143 SSI\/CAPI SINGLES COUPLES M e d i – C a l Family Size Maintenance of Need 1931(b) recipient program 1931(b) for famliies with children from 6-18 yrs\/ A&D-100% 1931(b) for famliies with children from 1-5 yrs-133% Transitional Medi-Cal-185% Pregnant Women & Infants Up to 1 yrs.-200% Healthy Families & Working Disabled Program-250% 1 2 2 adults 3 4 5 6 7 8 9 10 $600 750 934 934 1,100 1,259 1,417 1,550 1,692 1,825 1,959 +14 398 653 653 808 961 1,094 1,229 1,350 1,473 1,591 1,709 +0 958 1,293 1,293 1,628 1,963 2,298 2,633 2,968 3,303 3,638 3,973 +335 1,274 1,720 1,720 2,165 2,611 3,056 3,502 3,947 4,393 4,838 5,284 +446 1,772 2,392 2,392 3,011 3,631 4,251 4,871 5,490 6,110 6,670 7,350 +620 1,915 2,585 2,585 3,255 3,925 4,595 5,265 5,935 6,605 7,275 7,945 +670 2,394 3,232 3,232 4,069 4,907 5,744 6,582 7,419 8,257 9,094 9,932 +838 Each Add’l Person SUBSTANTIAL GAINFUL ACTIVITY = $1,010 MEDI-CAL PROPERTY LIMITS FOR 1931(B) Property Limits Family Size $3,000 3,000 3,000 3,150 3,300 3,450 3,600 3,750 3,900 4,050 4,100 1 2 2adults 3 4 5 6 7 8 9 10 LONG TERM CARE MEDICARE PREMIUMS A&D INCOME LIMITS A&D INCOME DISREGARDS 2013 FEDERAL BENEFIT RATE 2013 CSRA LIMIT SSI CAPI SSI CAPI SSI\/CAPI $921 $911 $1,609 $1,589 $1,599 $866 $856 $1,462 $1,442 $1,452 $773 $763 BLIND DISABLED DIS. MINOR 2013 CSTA Limit $115,920 Community Spouse Maintenance Need: $2,898 Individual $698 Couple $1,048 SSI Standard Allocation $356 Individual $1,138 Couple $1,536 Individual $230 Couple $310 MN\/QMB $35 SSI\/SSP $50 APPR. $6,840 PART A $441 PART B Annual Deduction $147 Effective 1\/13 PART B $104.90 for individual eligible for the hold harmless Food Stamps ( Also known as SNAP and CalFresh) Elderly (over 60) and Disabled 100% of Shelter Deduction plus SUA & Medical Costs Deductions over $35 Note: No Gross Income Test for Elderly or Disabled HHs 100% OF THE CHILD CARE COSTS DEDUCTED From The Gross Income HOMELESS HOUSING DEDUCTION SHELTER DEDUCTION STANDARD UTILITY DEDUCTION LIMITED UTILITY ALLOWANCE TELEPHONE UTILITY ALLOWANCE STANDARD DEDUCTION Any Income Deduction $20 Medical Savings Program Individual $7,080 Couple $10,620 ”

” Need Support Services? LEGAL ASSISTANCE, ANALYSIS OR INFORMATION, TRAINING & LITIGATION SUPPORT CONCERNING AFDC\/CalWORKS WtW\/GAIN\/WORKFARE CalFRESH\/FOOD STAMPS REFUGEES GA\/GR MEDI-CAL OUR STAFF STAFF EMAIL ADDRESS ADDRESS TELEPHONE Kevin Aslanian, Executive Director [email protected] 1901 Alhambra Blvd. Phone (916) 736-0616 Grace Galligher, Directing Attorney [email protected] Sacramento, CA 95816 Fax (916) 736-2645 Seth Blackmon, Staff Attorney [email protected] http:\/\/www.ccwro.org Kevin Cell (916) 712-0071 Region 1 Family Size CHILD CARE State Median Income Who Is Eligible for CHILD CARE? Family Size 70% – Annual State Median Income 70% – Monthly State Median Income 1. Persons who are getting CalWORKs money and working or participating in any WtW activity and need child care. 2. Persons who used to get CalWORKs money in the past 2 years if their gross income is below 75% of the State median income (SMI) 3. Persons who used to get CalWORKs money longer than 2 years ago if their gross income is below the 75% of the SMI and child money is available. Nonexempt Max. Aid Payment (MAP) Minimum Basic Standard of Care (MBSAC) Exempt Max. Aid Payment (EMAP) 1 2 3 4 5 6 7 8 9 10 Region 2 Family Size MAP EMAP $317 516 638 762 866 972 1069 1164 1258 1351 $351 577 714 849 966 1086 1192 1301 1405 1510 $559 916 1135 1347 1538 1729 1900 2069 2244 2436 1 2 3 4 5 6 7 8 9 10 $300 490 608 725 825 926 1016 1109 1198 1286 $334 550 681 809 923 1035 1137 1239 1340 1439 $530 870 1079 1282 1463 1645 1864 1969 2128 2317 Minimum Basic Standard of Care (MBSAC) 1 2 3 4 5 6 7 8 9 10 $39,369 39,396 42,216 46,896 54,408 61,908 63,312 64,728 66,132 67,536 $3,283 3,283 3,518 3,908 4,534 5,159 5,276 5,394 5,511 5,628 Coalition of California Welfare Rights Organizations, Inc. – CCWRO Family Size 1 2 3 4 5 6 7 8 9 10 $303 $498 $617 $734 $837 $941 $1,032 $1,126 $1,215 $1,306 CalWORKs (AFDC) Grant Levels Effective July 1, 1986 – 25 years Ago CalWORKs Property Limits $3,000 liquid resources for households with member over 60 and $2,000 for all other households $4,650 for a motor vehicle TOTALLY EXEMPT if used for work, as a home, for fishing How to Count Earned Income STANDARD DEDUCTION $112 1. Subtract the Standard Deduction from the Gross Income 2. Divide the remainder by one half 3. Subtract that number from the MAP or EMAP 4. The difference will be the CalWORKs benefit amount AFDC ( Also known as CalWORKs\/TANF) 2011 ANNUAL FEDERAL POVERTY LEVEL Family Size 1 2 3 4 5 6 7 8 Each Add’t Person Income $10, 890 $14,710 $18,530 $22,350 $26,170 $29,990 $33.810 $ 37,630 $3,820 Region 1 Alameda Contra Costa Los Angeles Marin Monterey Napa Orange San Diego San Francisco San Luis Obispo San Mateo Santa Barbara Santa Clara Santa Cruz Solano Sonoma Ventura Region 2 All other counties Effective 10\/11 1 2 3 4 5 6 7 8 Household (HH) Size $1,180 1,594 2,008 2,422 2,836 3,249 3,663 4,077 $414 $908 1,226 1,545 1,863 2,181 2,500 2,818 3,136 $319 $200 367 526 668 793 952 1052 1202 $150 Each Add’l Person Gross Monthly Income Elig. Stan. (130% FPL) Net Monthly Income Elig. Stan. (100% FPL) Maximum Benefits Level $459 (maximum) 1-3 persons-$147 4 persons-$155 5 persons-$181 6 persons-$208 $329 (maximum) $99 $20 $143 SSI\/CAPI SINGLES COUPLES M e d i – C a l Family Size Maintenance of Need 1931(b) recipient program 1931(b) for famliies with children from 6-18 yrs-100% 1931(b) for famliies with children from 1-5 yrs-133% Transitional Medi-Cal-185% Pregnant Women & Infants Up to 1 yrs.-200% Healthy Families & Working Disabled Program-250% 1 2 2 adults 3 4 5 6 7 8 9 10 $600 750 934 934 1,100 1,259 1,417 1,550 1,692 1,825 1,959 +14 398 653 653 808 961 1,094 1,229 1,350 1,473 1,591 1,709 +0 908 1,226 1,226 1,545 1,863 2,181 2,500 2,818 3,136 3,455 3,774 +319 1,207 1,631 1,631 2,054 2,478 2,901 3,324 3,748 4,171 4,595 5,019 +424 1,679 2,268 2,268 2,857 3,446 4,035 4,624 5,213 5,802 6,391 6,980 +589 1,815 2,452 2,452 3,089 3,725 4,362 4,999 5,635 6,272 6,910 7,548 +638 2,269 3,065 3,065 3,861 4,657 5,453 6,248 7,044 7,840 8,636 9,432 +796 Each Add’l Person SUBSTANTIAL GAINFUL ACTIVITY = $980 MEDI-CAL PROPERTY LIMITS FOR 1931(B) Property Limits Family Size $3,000 3,000 3,000 3,150 3,300 3,450 3,600 3,750 3,900 4,050 4,100 1 2 2adults 3 4 5 6 7 8 9 10 LONG TERM CARE MEDICARE PREMIUMS A&D INCOME LIMITS A&D INCOME DISREGARDS 2011 FEDERAL BENEFIT RATE 2011 CSRA LIMIT SSI CAPI SSI CAPI SSI\/CAPI $885 $875 $1,554 $1,534 $1,544 $830 $820 $1,407 $1,387 $1,397 $737 $727 BLIND DISABLED DIS. MINOR 2011 CSTA Limit $109,560 Community Spouse Maintenance Need: $2,739 Individual $674 Couple $1,011 Standard Allocation $337 Individual $1,138 Couple $1,536 Individual $240 Couple $310 MN\/QMB $35 SSI\/SSP $50 APPR. $6,840 PART A $461 PART B $115.40 * Effective 10\/11 PART B $96.40 for individual eligible for the hold harmless Food Stamps ( Also known as SNAP and CalFresh) Elderly (over 60) and Disabled 100% of Shelter Deduction plus SUA & Medical Costs Deductions over $35 Note: No Gross Income Test for Elderly or Disabled HHs 100% OF THE CHILD CARE COSTS DEDUCTED From The Gross Income HOMELESS HOUSING DEDUCTION SHELTER DEDUCTION STANDARD UTILITY DEDUCTION LIMITED UTILITY ALLOWANCE TELEPHONE UTILITY ALLOWANCE TRAINING OFFER: If your office wishes training on how to use this document, please go to www.ccwro.org and complete the training request form. STANDARD DEDUCTION ”

“CCWRO 2013-2014 California Public Benefits Related Bill & Budget Hearings Tracker 2013-#11 June 10, 2013 [image: Description: CCWRO Logo] COMING EVENTS NEXT WEEK- Budget Conference Committee Meetings Health and Human Services 2013-14 Budget Conference Committee on AB 110 here Status of Health & Human Services Action to date here Senate Assembly 8 1 Senator Human Services Staff Assembly Member Human Services Staff Mark Leno (D), Chair Room # 5100 Phone (916) 651-4011 Fax (916) 651-4722 Ma Tam Email: [email protected] Jen Troia Email: [email protected] Bob Blumenfield (D), Vice Chair Room 6026 Phone (916) 319-2045 Fax (919) 319-2145 Nicole Vazquez Email: [email protected] Kevin DeLoen(D) Room # 5108 Phone (916) 651-40122Fax (916) 327-8817 Lisa Chin Email: [email protected] Holly Mitchell (D) Room 2163 Phone (916) 319-2054 Fax (919) 319-2154 Mia Orr Email [email protected] Lonnie Hancock(D) Room # 2082 Phone (916) 651-4009 Fax (916) 327-1997 Marla Cowan Email: [email protected] Nancy Skinner (D) Room 3160 Phone (916) 319-2015 Fax (919) 319-2115 Diane Griffiths Email [email protected] Bill Emerson(R) Room # 5082 Phone (916) 651-4023 Fax (916) 327-2272 Teresa Trujillo Email: [email protected] Jeff Gorell (R) Room 6031 Phone (916) 319-2655 Fax (919) 319-3560 Julie Souliere Email: [email protected] Senate Budget Point Person Graig Cornett [email protected] Assembly Budget Point Person Chris Woods [email protected] Conference Committee On The Budget – LENO, Chair 12:30 p.m. or upon call of the Chair – John L. Burton Hearing Room (4203) (Listen to John L. Burton Hearing Room (4203)) Health & Human Services will be up at 12:30 Conference Committee2013-2014 Budget Conference Committee final Actions last night 6-10-13 June 10, 2013 Department of Social Services Package (Pages 22-25) Page Issue Action 22 CalWORKs Grants Conference Compromise Child Poverty Adjustment in Budget Year. Starting in 2013-14 (with approximately $50.9 million),a portion of above-trend growth dollars from the Social Services and Health accounts in 1991 realignment would be used to fund a child poverty adjustment\/family support increase in CaiWORKs maximum aid payments (MAP). The 2013-14 budget would include a five percent increase,beginning March 1, 2014. Out-Year Incremental Increases Tied To Growth. For 2014-15 and future years, an increase could be made on October 1of each year based on the level of designated growth dolla rs. The new level of aid payments in any given year will form the following year’s base grant level,with the General Fund providing a backstop should the growth funds become insufficient to fund the base. The intention is to make Child Poverty Adjustments with ava ilable growth funding until grants reach a level commensurate with, and to keep pace with 50 percent of the Federal Poverty Level. 23 CalWORKs Early Engagement and Barrier Removal Senate Version (for funding difference) CCWRO NOTE: The funding difference was $10 for the county single allocation. 24 CaiWORKs Other Anti- Poverty Strategies Conference Compromise Adopt changes to the Vehicle Asset Limit in CaiWORKs to do the following: Effective January 1, 2014, change current law to:1) increase the value limit of the vehicle, which would become $9,500 in equity value (adjusted by the California Necessities Index each year and reliant on the recipient’s self-attestation of any amount still owed); and 2) exempt gifted cars. 25 Supplemental Security Income\/State Supplementary Payment (551\/55P) Senate Version CCWRO NOTE: The Assembly had a SSI COLA and the Senate did not. No SSI COLA this year. [bookmark: _GoBack]CCWRO NOTE: This is a 5% increase effective March 1, 2013 — —- —- — — Conforming Issue: The budget should reflect a corresponding reduction in the TANF Transfer to the Student Aid Commission for funding Cal Grants. ASSEMBLY BILLS Bill No. Author Author Staff Sponsor Bill Description CCWRO Position Next Steps AB 5 Ammiano Room 3146 319-2017 Wendy Hill WCLP This bill would enact the Homeless Person’s Bill of Rights and Fairness Act. Support Held in Suspense AB 35 Hernandez Room 4146 319-2048 Cheye-Ann Corona [email protected] Author This bill would provide for the issuance of public benefits to persons who received deferred action under 1621(d) of Title 8 of the U.S.C. from USCIS – Immigration. Support Senate Labor and Industrial Relations Committee Date: 6\/13\/13 Time: 9:30 Room: 2040 AB 191 Bocanegra Room 4167 319-2039 Israel Salas [email protected] CFPA This bill would waive the CalFresh gross income test to any person categorically eligible for CalFresh and receiving Medi-Cal Support Referred to Senate Human Services Committee AB 197 Stone Room 4164 319-2029 Myesha Jackson [email protected] CCWRO, CWDA, California United Way & WCLP This bill would exempt the first car of any CalWORKs family, Support Two-Year Bill. AB 271 Mitchell Room 2163 319-2054 Mia Orr [email protected] EBCL and WCLP This bill would repeal the Maximum Family Grant (MFG) rule. Support Referred to Senate Human Services Committee AB 309 Mitchell Room 2163 319-2054 Jay Jefferson [email protected] Author This bill would expand the availability of expedited services CalFresh benefits to unaccompanied homeless youth. Support Senate Human Services Committee Date: 6-11-13 Time: 1:30 Room: 3191 AB 419 Lowenthal Room 3152 319-2070 Mary June Florez WCLP This bill would consider a child who is a patient in a public hospital for surgical care shall be considered temporarily absent from the home for the duration of the hospital stay. Support Senate Human Services Committee Date: 6-11-13 Time: 1:30 Room: 3191 AB 814 Bradford Room 5136 319-2047 Ian Blair [email protected] WCLP This bill would prohibit the reduction of CalWORKs benefits when a child under is not in school. The bill would also prohibit the sanctioning of a child over 16 unless provided with an age appropriate assessment. Support Held in Suspense. AB 832 Weber Room 5158 319-2079 Tanisha Martin-Chiles Author This is a spot bill. Support Two-Year Bill AB1094 Brown Room 2196 319-2047 Cody Boyles [email protected] CCWRO & WCLP Current law provides a $225 disregard for disability benefits. This bill would extent the $225 disregard to veteran’s disability benefits. Support Referred to Senate Human Services Committee AB 1107 Garcia Room 5146 319-2058 Robb Layne [email protected] CCWRO & WCLP This bill would require a statewide notice and process for assist survivors of domestic violence. The bill would also provide that a statement under penalty of perjury should be sufficient to establish eligibility for waivers under the federal domestic violence option program. Support Held in Suspense. AB 1280 John Perez Gail Gronert [email protected] WCLP This bill would make direct deposit for CalWORKs recipients more accessible. Support Senate Human Services Committee Date: 6-11-13 Time: 1:30 Room: 3191 SENATE BILLS SB 134 Hueso Room 2054 651-4040 Maria Garcia San Diego Hunger Coalition and Hunger Action Network of San Diego and WCLP This bill would provide for treatment of housing costs for veterans to be treated the way it is treated for seniors. It would also exempt veterans from the Food Stamp Employment and Training program. Support Referred to Assembly Human Services Committee SB 252 Liu Room 5097 651-4025 Andrea Lane WCLP This bill would require the department to apply for federal funding for voluntary home visiting program for low-income Californians. This bill would also exempt pregnant CalWORKs recipients from the WtW program if the parent were participating in a home visit program. Support Referred to Assembly Human Services Committee SB 283 Hancock Room 2082 651-4024 Marla Cowan CWDA, Drug Policy Alliance and WCLP This bill would opt to provide food stamps to convicted drug felons. The bill would also provide CalWORKs to those drug felons who are complying with their probation requirements. Support Referred to Assembly Human Services Committee SB 346 Beall Room 2068 651-4015 Kanton Stanhope Santa Clara County Michael Rattigan (916) 447-2868 1100 K STREET, SUITE 102 SAC. , CA 95814 This bill would allow the county welfare department to release client confidential information without the consent of the applicant or recipient for an undefined client centered approach services. Support Referred to Assembly Human Services Committee SB 480 Yee Room 4074 651-4008 Alicia Lewis Author This bill would restore CalWORKs, CalFresh and Medi-Cal benefits to individuals who were receiving such benefits prior to incarceration without the necessity of reapplication if otherwise eligible. Support Two-Year Bill SB 672 Leno Room 5100 651-4011 Alison Merrilees San Francisco Living Wage Coalition and WCLP This bill would require the department issue a policy to simplify the verification of earned income and dependent care. The policy shall include the requirement that a county use available electronic databases and shall let the applicant or recipient that he or she can have a copy of the information the county discovered from the databases. Support Referred to Assembly Human Services Committee 8 2 ASSEMBLY HUMAN SERVICES COMMITTEE Consultants: Myesha Jackson ([email protected]) and Chris Reefe ([email protected]) Committee Secretary: Irene Frausto ([email protected]) Phone: (916) 319-2089 Fax: (916) 319-2189 1020 N. Street, Sacramento, CA 95814 Room 124 Republican Consultant Mary Belamy Email: [email protected] Phone: (916) 319-3900 Fax: (916) 319-3902 1020 N. Street, Sacramento, CA 95814 Room 400 Assembly Committee Member Phone Fax Room # Human Services Staff Mark Stone (Chair) 916-319-2029 916-319-2129 4164 Arianna Smith – [email protected] Brian Maienschein (Vice Chair) 916-319-2077 916-319-2177 3098 Erin Donnette [email protected] Tom Ammiano 916-319-2017 916-319-2117 3146 Wendy Hill [email protected] Ian C. Calderon 916-319-2057 916-319-2157 5150 Kelsy Castillo [email protected] Cristina Garcia 916-319-2058 916-319-2158 5164 Robb Layne – [email protected] Shannon Grove 916-319-2034 916-319-2134 4208 Kristina Brown [email protected] Isadore Hall, III 916-319-2064 916-319-2164 3123 Brian Duke [email protected] ASSEMBLY POLICY COMMITTEE HEARINGS Assembly Human Services Committee Mark Stone, Chair DATE: Tuesday, June 18, 2013 TIME: 1:30 P.M. PLACE: Room 437 Assembly Human Services Committee Mark Stone, Chair DATE: Tuesday, July 2, 2013 TIME: 1:30 P.M. PLACE: Room 437 SENATE HUMAN SERVICES COMMITTEE Staff:Consultants: Mareva Brown ([email protected], Sara Rogers ([email protected] and Tepring Piquado (Tepring [email protected] Assistant: Mark Teemer Jr. ([email protected]) Phone: (916)651-1524 Fax (916) 327-9478 1020 N. Street, Sacramento, CA 95814 Room 521 Republican Consultant Joe Parra ([email protected]) Phone: (916) 651-1501 Fax: (916) 445-3105 1020 N. Street, Sacramento Room 23 Senate Member Phone Fax Room # Human Services Staff Senator Leland Yee (Chair) 916-651-4008 916-327-2186 4074 Alicia Lewis – [email protected] Senator Tom Berryhill (Vice Chair) 916-651-4014 916-327-3523 3076 Brent Finkel [email protected] Senator Bill Emmerson 916-651-4023 916-327-2272 5082 Teresa Trujillo [email protected] Senator Noreen Evans 916-651-4002 916-323-6958 4085 Sofia Andrade [email protected] Senator Carol Liu 916-651-4025 916-324-7543 5097 Darcel Sanders [email protected] Senator Roderick D. Wright 916-651-4035 916-445-3712 2032 Emily Rice [email protected] SENATE POLICY COMMITTEE HEARINGS Senate Human Services Committee Senator Yee, Chair DATE: Tuesday, June 11, 2013 TIME: 1:30 PLACE: Room 3191 Senate Human Services Committee Senator Yee, Chair DATE: Tuesday, June 25, 2013 TIME: 1:30 PLACE: Room 319 Assembly Appropriations Committee Mike Gatto (Chair)(D) Diane L. Harkey (Vice Chair) (D) Franklin E. Bigelow (R) Raul Bocanegra (D) Steven Bradford(D) Ian C. Calderon(D) Nora Campos(D) Tim Donnelly(R) Susan Talamantes Eggman(D) Jimmy Gomez(D) Isadore Hall, III(D) Chris R. Holden(D) Eric Linder(R) Richard Pan(D) Bill Quirk(D) Donald P. Wagner(R) Shirley N. Weber(D) Room 2114 Sacramento, California 95814 916.319.2081 phone 916.319.2181 fax Julie Salley-Gray, Principal Consultant Human Services – [email protected] Republican Consultant Julie Souliere, 916-319-2637 Room 6027 – [email protected] Senate Appropriations Committee Senator Kevin de Le\u00f3n (Chair) Senator Mimi Walters (Vice Chair) Senator Ted Gaines Senator Jerry Hill Senator Ricardo Lara Senator Alex Padilla Senator Darrell Steinberg Room 2206 Sacramento, California 95814 916.319.2081 phone 916.319.2181 fax Jolie Onodera, Consultant Human Services [email protected] Republican Consultant Shantele Denny- [email protected] 916-651-1501 GGWRO 2013-2014 CUCL y Budget Hearings Tracker 2013-#11 COMING EVENTS NEXT WEEK- ”

” Coalition of California Welfare Rights Organizations, Inc. 1901 Alhambra Blvd. Sacramento, CA 95816 December 24, 2011 CCWRO TANF Reauthorization UPDATE ccwro.org CCWRO is an IOLTA funded support center serving IOLTA legal services programs in California. Types of Services Offered: Litigation, Co-Counseling, Fair Hearing, Representation, Consultation, Informational Services, Research Services, In-Depth Consultation and Welfare Training. Programs Covered: CalWORKs, Welfare to Work (WtW), Food Stamps, Media Cal, General Assistance & Refugee\/Immigrant Eligibility. Refugee\/Immigrant Eligibility. All Rights Reserved. TANF Extended for 60 More Days On December 23, 2011 Congress enacted HR 3765 that contains a clean 60 day extension of the TANF program. TANF extension was folded into the payroll tax deduction and unemployment benefits extension legislation. The clean extension was authored by Dave Camp, the chair of the House Ways & Means Committee. This means the fight goes. We will see what happens in February when that all plays out again. Below is the text of the TANF extension embodied in Section 312 of HR 3765. SEC. 312. EXTENSION OF THE TEMPORARY ASSISTANCE FOR NEEDY FAMILIES PROGRAM. Activities authorized by part A of title IV and section 1108(b) of the Social Security Act (other than under sub- sections (a)(3) and (b) of section 403 of such Act) shall continue through February 29, 2012, in the manner authorized for fiscal year 2011, and out of any money in the Treasury of the United States not otherwise appro- priated, there are hereby appropriated such sums as may be necessary for such purpose. Grants and payments may be made pursuant to this authority through the applicable portion of the second quarter of fiscal year 2012 at the pro rata portion of the level provided for such activities through the second quarter of fiscal year 2011. Bill Text 112th Congress (2011-2012) H.R.3765.ENR Latest Title: To extend the payroll tax holiday, unemployment compensation, Medicare physician payment, provide for the consideration of the Keystone XL pipeline, and for other purposes. Sponsor: Rep Camp, Dave [MI-4] (introduced 12\/23\/2011) Cosponsors (None) Latest Major Action: 12\/23\/2011 Passed\/agreed to in House. Status: On passage Passed without objection. Latest Action: 12\/23\/2011 Motion to reconsider laid on the table Agreed to without objection. SOURCE: http:\/\/thomas.loc.gov\/cgi-bin\/query\/F?c112:1:.\/temp\/~c112ggiCCO:e972: ”

” Coalition of California Welfare Rights Organizations, Inc. 1901 Alhambra Blvd. Sacramento, CA 95816 December 24, 2011 CCWRO TANF Reauthorization UPDATE ccwro.org CCWRO is an IOLTA funded support center serving IOLTA legal services programs in California. Types of Services Offered: Litigation, Co-Counseling, Fair Hearing, Representation, Consultation, Informational Services, Research Services, In-Depth Consultation and Welfare Training. Programs Covered: CalWORKs, Welfare to Work (WtW), Food Stamps, Media Cal, General Assistance & Refugee\/Immigrant Eligibility. Refugee\/Immigrant Eligibility. All Rights Reserved. TANF Extended for 60 More Days On December 23, 2011 Congress enacted HR 3765 that contains a clean 60 day extension of the TANF program. TANF extension was folded into the payroll tax deduction and unemployment benefits extension legislation. The clean extension was authored by Dave Camp, the chair of the House Ways & Means Committee. This means the fight goes. We will see what happens in February when that all plays out again. Below is the text of the TANF extension embodied in Section 312 of HR 3765. SEC. 312. EXTENSION OF THE TEMPORARY ASSISTANCE FOR NEEDY FAMILIES PROGRAM. Activities authorized by part A of title IV and section 1108(b) of the Social Security Act (other than under sub- sections (a)(3) and (b) of section 403 of such Act) shall continue through February 29, 2012, in the manner authorized for fiscal year 2011, and out of any money in the Treasury of the United States not otherwise appro- priated, there are hereby appropriated such sums as may be necessary for such purpose. Grants and payments may be made pursuant to this authority through the applicable portion of the second quarter of fiscal year 2012 at the pro rata portion of the level provided for such activities through the second quarter of fiscal year 2011. Bill Text 112th Congress (2011-2012) H.R.3765.ENR Latest Title: To extend the payroll tax holiday, unemployment compensation, Medicare physician payment, provide for the consideration of the Keystone XL pipeline, and for other purposes. Sponsor: Rep Camp, Dave [MI-4] (introduced 12\/23\/2011) Cosponsors (None) Latest Major Action: 12\/23\/2011 Passed\/agreed to in House. Status: On passage Passed without objection. Latest Action: 12\/23\/2011 Motion to reconsider laid on the table Agreed to without objection. SOURCE: http:\/\/thomas.loc.gov\/cgi-bin\/query\/F?c112:1:.\/temp\/~c112ggiCCO:e972: ”

” Coalition of California Welfare Rights Organizations, Inc. 1901 Alhambra Blvd. Sacramento, CA 95816 March 28, 2011 Issue # 2011-03 CCWRO Welfare News\u2002 ccwro.org CCWRO is an IOLTA funded support center serving IOLTA legal services programs in California. Types of Services Offered: Litigation, Co-Counseling, Fair Hearing, Representation, Consultation, Informational Services, Research Services, In-Depth Consultation and Welfare Training. Programs Covered: CalWORKs, Welfare to Work (WtW), Food Stamps, Media Cal, General Assistance & Refugee\/Immigrant Eligibility. Refugee\/Immigrant Eligibility. All Rights Reserved. Contributors: Kevin Aslanian, Grace Galligher, Seth Blackmon, Steve Goldberg and Diane Aslanian. Stage 3 Child Care – Last year, the Legislature terminated Stage 3 childcare. The court stopped the cut, but according to county officials many families never got back on Stage 3. Moreover, many families were unable to afford childcare and have ended up on welfare. The State Department of Education is crafting new regulations regarding a va- riety of programs including: Latch Key, Attendance, Timely Payments and Trust line. CDE has a long-standing policy of operating in secrecy and without trans- parency. They have intentionally re- fused to work with representatives of the childcare program consumers, choosing instead to cooperate only with providers. CalFRESH (Food Stamps) At the 2-3-11 CWDA CalFresh Com- mittee Meeting, DSS stated that if the food stamp recipient fails to check the resource box on the QR-7, it is not in- complete for CalFresh. The big ques- tion is how this would affect CalWORKs recipients. Would a failure to check the resource box also mean the QR-7 is not incomplete for CalWORKs? Food Stamp NOA Waiver – Utah received a FNS waiver to send Food Stamp Notices of Action by email. DSS has agreed to distribute the Utah waiver to counties throughout California that are interested in pursuing similar waiv- ers to enable them to send Food Stamp NOAs by email. This is not being al- lowed in California, yet. For advocates, one county that has expressed an interest in the waiver is Los Angeles. Voter Registration – Voter Regis- tration is a hot topic in the office of the Secretary of State. They are revising a manual designated for public agencies. There is a workgroup that is working on this issue. The law provides that voter registration must be offered to all house- holds at application, recertification and when there is a change in address. In Brief Was it necessary to take $690 million out of the mouths of poor women and children? Again, the short answer is no. But it certainly was politically expedi- ent. Simply aligning the CalWORKs work requirement exemption age with the food stamp program work require- ment (e.g. families with children over the age of six (6)) could have saved the $690 million. Amazingly, this seem- ingly reasonable approach was rejected. One can’t help but wonder at the pro- priety of treating the resources used to support the poor as bargaining chips for political popularity. But perhaps that’s the legacy we will leave for future gen- erations. The budget battle is not over. Califor- nians needs to mobilize to protect their most fragile citizens. Currently before state legislators is an initiative to create a June ballot to raise $12 billion in taxes. If this initiative fails, the budget battle will begin anew in June 2011. On the positive side, the ill-conceived CalWORKs so-called long-term re- forms enacted in 2009 were repealed. 2011- 2012 State Budget News The Legislature recently voted to cut CalWORKs benefits to families in need to 1984 levels, without any adjustment for inflation. Both Democrats and Re- publicans voted for this cut. In fact, Governor Jerry Brown proposed reduc- ing benefits to families in need by 13%. Through the serious efforts of the pub- lic benefits advocate community and Democratic Legislators we were able to persuade the Governor, and his to team, to limit the cuts to 8%. The recent CalWORKS cuts ensure that families in need are worse off today than they were 35 years ago. No one can ar- ticulate why, including the Governor, welfare recipients should suffer greater hardship simply because the State of California has mismanaged its fiscal affairs. If we really propose to protect liberty and equality for the citizens of this state, perhaps the employees of the Department of Finance, the Gover- nor’s Office, and the Legislature should have their paychecks reduced to levels present in the mid-1980s. Would they lead by example? The short answer, of course, is no. In contrast to negative stigma of welfare recipients in our state Capital, is the fact that children living in impoverished families contributed $2 billion worth of CalWORKs funds to the California State General Fund is frequently overlooked. Similarly over- looked is the fact that welfare recipients, since 1998, have contributed about $20 billion to the General Fund while living on a fixed income that hasn’t changed in over 20 years. Yet, the California Government has made the assessment the easiest route to financial health and freedom is to write off the poor. As we tighten our belts families in need will go without food, shelter, or even the most basic protections that were previ- ously afforded them. W a s h i n g t o n D. C. N e w s The U.S. House of Representa- tives passed HR 1, which would significantly cut programs serv- ing the poor. Women Infants and Children (WIC) was cut by 10%, the Low Income Energy Assis- tance Program (LIEAP) by 7%, family planning was cut 100%, and Headstart was cut by $1 bil- lion. Meanwhile, those persons falling in the top tax bracket will continue to get their tax relief of $700 billion over the next five (5) years. ”

” Coalition of California Welfare Rights Organizations, Inc. 1901 Alhambra Blvd. Sacramento, CA 95816 March 28, 2011 Issue # 2011-04 CCWRO Welfare News\u2002 ccwro.org CCWRO is an IOLTA funded support center serving IOLTA legal services programs in California. Types of Services Offered: Litigation, Co-Counseling, Fair Hearing, Representation, Consultation, Informational Services, Research Services, In-Depth Consultation and Welfare Training. Programs Covered: CalWORKs, Welfare to Work (WtW), Food Stamps, Media Cal, General Assistance & Refugee\/Immigrant Eligibility. Refugee\/Immigrant Eligibility. All Rights Reserved. Contributors: Kevin Aslanian, Grace Galligher, Seth Blackmon, Steve Goldberg and Diane Aslanian. Stage 3 Child Care – Last year, the Legislature terminated Stage 3 childcare. The court stopped the cut, but according to county officials many families never got back on Stage 3. Moreover, many families were unable to afford childcare and have ended up on welfare. The State Department of Education is crafting new regulations regarding a va- riety of programs including: Latch Key, Attendance, Timely Payments and Trust line. CDE has a long-standing policy of operating in secrecy and without trans- parency. They have intentionally re- fused to work with representatives of the childcare program consumers, choosing instead to cooperate only with providers. CalFRESH (Food Stamps) At the 2-3-11 CWDA CalFresh Com- mittee Meeting, DSS stated that if the food stamp recipient fails to check the resource box on the QR-7, it is not in- complete for CalFresh. The big ques- tion is how this would affect CalWORKs recipients. Would a failure to check the resource box also mean the QR-7 is not incomplete for CalWORKs? Food Stamp NOA Waiver – Utah received a FNS waiver to send Food Stamp Notices of Action by email. DSS has agreed to distribute the Utah waiver to counties throughout California that are interested in pursuing similar waiv- ers to enable them to send Food Stamp NOAs by email. This is not being al- lowed in California, yet. For advocates, one county that has expressed an interest in the waiver is Los Angeles. Voter Registration – Voter Regis- tration is a hot topic in the office of the Secretary of State. They are revising a manual designated for public agencies. There is a workgroup that is working on this issue. The law provides that voter registration must be offered to all house- holds at application, recertification and when there is a change in address. In Brief Was it necessary to take $690 million out of the mouths of poor women and children? Again, the short answer is no. But it certainly was politically expedi- ent. Simply aligning the CalWORKs work requirement exemption age with the food stamp program work require- ment (e.g. families with children over the age of six (6)) could have saved the $690 million. Amazingly, this seem- ingly reasonable approach was rejected. One can’t help but wonder at the pro- priety of treating the resources used to support the poor as bargaining chips for political popularity. But perhaps that’s the legacy we will leave for future gen- erations. The budget battle is not over. Califor- nians needs to mobilize to protect their most fragile citizens. Currently before state legislators is an initiative to create a June ballot to raise $12 billion in taxes. If this initiative fails, the budget battle will begin anew in June 2011. On the positive side, the ill-conceived CalWORKs so-called long-term re- forms enacted in 2009 were repealed. 2011- 2012 State Budget News The Legislature recently voted to cut CalWORKs benefits to families in need to 1984 levels, without any adjustment for inflation. Both Democrats and Re- publicans voted for this cut. In fact, Governor Jerry Brown proposed reduc- ing benefits to families in need by 13%. Through the serious efforts of the pub- lic benefits advocate community and Democratic Legislators we were able to persuade the Governor, and his to team, to limit the cuts to 8%. The recent CalWORKS cuts ensure that families in need are worse off today than they were 35 years ago. No one can ar- ticulate why, including the Governor, welfare recipients should suffer greater hardship simply because the State of California has mismanaged its fiscal affairs. If we really propose to protect liberty and equality for the citizens of this state, perhaps the employees of the Department of Finance, the Gover- nor’s Office, and the Legislature should have their paychecks reduced to levels present in the mid-1980s. Would they lead by example? The short answer, of course, is no. In contrast to negative stigma of welfare recipients in our state Capital, is the fact that children living in impoverished families contributed $2 billion worth of CalWORKs funds to the California State General Fund is frequently overlooked. Similarly over- looked is the fact that welfare recipients, since 1998, have contributed about $20 billion to the General Fund while living on a fixed income that hasn’t changed in over 20 years. Yet, the California Government has made the assessment the easiest route to financial health and freedom is to write off the poor. As we tighten our belts families in need will go without food, shelter, or even the most basic protections that were previ- ously afforded them. W a s h i n g t o n D. C. N e w s The U.S. House of Representa- tives passed HR 1, which would significantly cut programs serv- ing the poor. Women Infants and Children (WIC) was cut by 10%, the Low Income Energy Assis- tance Program (LIEAP) by 7%, family planning was cut 100%, and Headstart was cut by $1 bil- lion. Meanwhile, those persons falling in the top tax bracket will continue to get their tax relief of $700 billion over the next five (5) years. ”

” Coalition of California Welfare Rights Organizations, Inc. 1901 Alhambra Blvd. Sacramento, CA 95816 September 11, 2011 Issue # 2011-15 CCWRO Welfare News\u2002 CCWRO is an IOLTA funded support center serving IOLTA legal services programs in California. Types of Services Offered: Litigation, Co-Counseling, Fair Hearing, Representation, Consultation, Informational Services, Research Services, In-Depth Consultation and Welfare Training. Programs Covered: CalWORKs, Welfare to Work (WtW), Food Stamps, Media Cal, General Assistance & Refugee\/Immigrant Eligibility. Refugee\/Immigrant Eligibility. All Rights Reserved. Contributors: Kevin Aslanian, Grace Galligher, Steve Goldberg and Diane Aslanian In Brief AB 6 has passed the Senate and was sent to the governor’s desk on September 2, 2011. You can more information about AB 6 at: http:\/\/www.leginfo.ca.gov\/cgi-bin\/ postquery?bill_number=ab_6&ses s=CUR&house=B&author=fuentes This bill would implement semi- annual reporting, which means Cal- WORKs and Food Stamp recipients would have to submit two (2) reports a year with reporting requirements in excess of what is required by federal law, repeal finger-imaging for food stamp recipients and use the Low-Income Energy Assistance Outreach Funds to pay a nominal portion of all food stamp recipients utility costs to assure that they all get a standard utility deduction. The bill was opposed by the California District Attorney’s Asso- ciation who would like to keep the current quarterly reporting system so they can charge more counts of perjury when prosecuting for wel- fare fraud. The California quarterly report- ing system has been operating on repeated FNS waivers that have al- lowed California to make the food stamp program more punitive than allowed by current federal regula- tions. The state has been allowed to terminate an estimated 48,000 households from food stamp ben- efits for not reporting an address. * However, reporting an address is not a condition of eligibility for food stamps. This is one way of terminating food stamp benefits that result in more hunger and malnutri- tion in California. AB 6 continues this address reporting requirement despite the fact that it is not required. (See 7 CFR 273.12(a)(5)(iii)(E) and (v).) The bill provides that DSS can seek federal waivers from FNS to maintain reporting requirements AB 6 – Fuentes in excess of what the federal law re- quires to saddle impoverished Cali- fornia households with hunger and malnutrition. The federal Food and Nutrition Service (FNS) has been urging Cali- fornia to adopt a semi-annual report- ing system for several years. The major benefit of AB 6 for the State and County food stamp pro- gram is that semi-annual reporting would reduce the California food stamp error rate by 50% by reducing the reports per year from 4 to 2. The bill provided for the repeal of finger-imaging as a condition of eligibility for CalWORKs and Food Stamps in California. The bill was subsequently amended to repeal the fingerprint requirement only for Food Stamps and keeps the fingerprinting mandate in place to CalWORKs. The CalWORKs reporting thresh- old, also known as the Income Re- porting Threshold (IRT), the level at which additional reporting must oc- cur, has been set at 55% of the pov- erty level for CalWORKs and 130% for Food Stamps. AB 6 would also take a nominal amount from the LIHEAP program Outreach Fund and give it to all food stamp recipients. The result is that all food stamp recipients will get a utility deduction. m Food Stamp On-Line Appli- cation Link on EDD Web Page: Los Angeles DPSS called Brian Tam of DSS and asked about put- ting a link on the EDD website for On-Line Food Stamp applications. DSS asked other counties what they thought of the idea. Counties said that they would rather have one central location for On-Line Food Stamp Application rather than each county have a link on their web pag- es. As of September 5, 2011, Labor Day there is no link for food stamp applications on EDD’s web page. DSS has a link on their web page where any person can apply for food stamps on-line. This link can also be on EDD’s web page for applicants of unemployment benefits visiting the EDD web page would have an op- portunity to apply for food stamps. Hopefully this will happen soon to help the unemployed of California get food stamp benefits. m California Public Assis- tance State Plans Not Trans- parent: The Food Stamp Employ- ment and Training Program state plan has to be submitted to the fed- eral government by September 23, 2011. State plans are often submitted to the federal government without any public involvement. Only the Community Services Block Grant state plan has a legislative hearing every year to assure public transpar- ency. The Brown administration as- serts that it believes in transparency and simplification. According the Brown Administration should take steps to make state plans submitted to the federal government transpar- ent. CCWRO NUMBER OF THE WEEK DSS DPA 482 Welfare Fraud IIEVS Management Report re- veals during April-June of 2011 counties processed 173,960 re- ports and only 12,553 had a dis- creptancy. That is: 93% Waste * This estimate is based on the number of families terminated from CalWORKs based on the same address reporting rule. ccwro.org ”

” Coalition of California Welfare Rights Organizations, Inc. 1901 Alhambra Blvd. Sacramento, CA 95816 February 2, 2010 Issue # 2010-03 CCWRO Welfare News\u2002 ccwro.org CCWRO is an IOLTA funded support center serving IOLTA legal services programs in California. Types of Services Offered: Litigation, Co-Counseling, Fair Hearing, Representation, Consultation, Informational Services, Research Services, In-Depth Consultation and Welfare Training. Programs Covered: CalWORKs, Welfare to Work (WtW), Food Stamps, Media Cal, General Assistance & Refugee\/Immigrant Eligibility. Refugee\/Immigrant Eligibility. All Rights Reserved. Contributors: Kevin Aslanian, Grace Galligher, Steve Goldberg and Diane Aslanian The Administration’s budget proposal generally extends the TANF block grant (along with supplemental grants). It appears that this proposed extension is in lieu of a full scale reauthorization proposal for 2010. The budget, does, however, include several areas of ad- ditional funding and some changes in law. A. Extension of the TANF Emergen- cy Fund (along with increasing state max and adding funds) with some changes. 1. Extends the TANF Emergency Fund The Administration’s budget proposes to extend the fund for one year beyond its current termination date, through September 30, 2011. 2. Provides incentives to states to cre- ate subsidized jobs. States would be reimbursed for 100 percent of the costs associated with providing subsidized jobs to eligible individuals. Currently, states are reimbursed for 80 percent and some states have indicated they have had difficulty identifying state funds to cover the remainder of the costs. 3. Expands allowable uses of the fund to include increased expenses for work activities and work supports that last longer than four months. Many states are serving more families in their TANF programs than prior to the recession. This has resulted in the need for states to expand their work programs, includ- ing the work supports (such as trans- portation assistance) families need to participate in such programs. This ex- pansion of the TANF Emergency Fund will make it possible for states to cover any expansion in work programs that last for longer than four months. (Work activities and associated work supports lasting four months or less can already be covered as a one-time non-recurring benefit.) 4. Provides states with a new maximum allocation. All states would receive a new maximum allocation for FY 2011 equal to 50 percent of their TANF block grant. Any funds drawn down in 2009 and 2010 will not count against the new maximum allocation. 5. Provides additional money to cover the extension and expansion. The Administration’s budget includes $2.5 billion in FY 2011 to cover the expansion and extension of the TANF Emergency Fund. (This includes any funds that are remain by the end of 2010 from the $5 billion appropriation in ARRA.) B. Adds funds to the regular TANF Contingency Fund The regular TANF Contingency Fund from which 19 states received money in 2009 or 2010 ran out of funds in De- cember 2009. The budget proposals adds $1.8 billion to the fund. A state would be limited to 20% of the block grant amount for one year and the max- imum that a state could receive under the combined Contingency Fund and Emergency Fund for 2011 would be 50% of a state’s block grant. C. Replaces the $150 Million Healthy Marriage Promotion and Respon- sible Fatherhood Grants with a new $500 Million Fatherhood, Marriage, and Families Innovation Fund The new $500 million fund would have two equal funding streams of competi- tive grants to states that are ready to conduct and evaluate comprehensive responsible fatherhood programs (in- cluding those with a marriage compo- nent) that relay on strong partnerships with community-based organizations and comprehensive demonstrations geared toward improving child out- comes by improving outcomes for cus- todial parents with serious barriers to self-sufficiency. The goals is to build a stronger evidence base about what service intervention models would to remove barriers to employment, in- crease family functioning and parent- ing capacity that could be replicated within TANF, Child Support Enforce- ment, and other state and community- based programs. The Family Innovation portion of this fund will develop promising new ap- proaches in areas such as: \u00b7 Identifying families that have serious barriers to employment \u00b7 Implementing strategies to address these barriers and also to prepare for employment \u00b7 Promoting child well-being in highly disadvantaged families including child- only cases \u00b7 Supporting those with barriers who find jobs to sustain employment. By Liz Schotts and Donna Pavetti, Center on Budget Policy and Priorities, Inc. – cbpp.org Fiscal Year 2010 U.S. Proposed Budget ”

” Coalition of California Welfare Rights Organizations, Inc. 1901 Alhambra Blvd. Sacramento, CA 95816 February 13, 2012 Issue # 2012-03 CCWRO Welfare News CCWRO is an IOLTA funded support center serving IOLTA legal services programs in California. Types of Services Offered: Litigation, Co-Counseling, Fair Hearing, Representation, Consultation, Informational Services, Research Services, In-Depth Consultation and Welfare Training. Programs Covered: CalWORKs, Welfare to Work (WtW), Food Stamps, Media Cal, General Assistance & Refugee\/Immigrant Eligibility. Refugee\/Immigrant Eligibility. All Rights Reserved. Contributors: Kevin Aslanian, Grace Galligher, Seth Blackmon, Stephen Goldberg and Diane Aslanian Who are the people on the line working as welfare workers, more commonly known as eligibility workers (EWs)? Generally they are high school graduates. Once hired, they go through a rigorous training program, given a caseload and then they are functioning EWs. They issue benefits to a lot of people and do a heroic job under difficult working conditions. They also make mistakes. Such mistakes can mean families end up homeless, families break up due to poverty or working welfare moms lose their jobs. EWs do not get continuing education and are not regularly certified like other professions. This is not the fault of the EW in any way, shape or form. It is the fault of the welfare system that promotes negative incentives in any situation to obtain cooperation from the people they allegedly serve. The welfare system has no positive incentives to obtain cooperation unlike most other regular business practices in our society. If the client does not do x their aid is stopped immediately. If a welfare mom does not go to job club when there are 14 people looking for three (3) available spots or because they did not have child care or transportation, boom their share of the grant is stopped. The welfare system never verifies that supportive services are actually available to the individual before demanding their appearance at job club. If they have a baby while on aid, no aid for the baby you should have had an abortion. And the list goes on and on. Thus, after several years, even good EWs make mistakes that cause devastation to families. Maybe they forgot what they were taught or did not read the memo informing them of a new policy. http:\/\/www\/ccwro.org Alternative to regular continuing education for welfare workers Program the computer to require employees to complete a quiz of the day before they are allowed to log on their computer. Private enterprise has faced the same phenomenon – a lot of work and no time for retraining or taking refresher courses. They have found a way to offer continuing education to their employees. Like EWs, corporate employees must log on to their computers daily. They turn on the computer, enter their pass code and start working. But, what if after entering the password each worker would have a simple quiz to answer before they were allowed to enter the system? For example: Does a food stamp applicant, eligible for expedited service, have to ask for expedited service before the EW has to issue food stamp benefits ? Yes__ No__. Each day there could be a different quiz targeted to Medi-Cal workers, WtW workers or social workers. It would take less than a minute to complete the quiz of the day. If the EW does not answer correctly, the answer would pop up so the EW could start work. If the worker is continuously failing to answer correctly, management should have the person enter a retraining program to upgrade his or her skills. Some may get fired. But that is better than poor people and families ending up homeless, broken and suffering extreme devastation. Statistic of the Month How much would welfare recipients contribute to the State General Fund under the Governor’s proposed 2012-2013 State Budget? 2011-2012 $1.2 billion 2012-2013 $2.7 billion 114% INCREASE over 1 year . See attachment revealing Welfare Recipient contributions to the State General Funds since 1997. Efficient Continuing Education for Welfare Workers CalWORKs and TANF Funding Chart 2\/12\/12 FY 1998-99 FY 1999-00 FY 2000-01 FY 2001-02 FY 2002-03 FY 2003-04 FY 2004-05 FY 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 Estimate 2012-13 GB Total TANF Grant\/Required MOE 6,640,971,000 6,639,655,000 6,457,111,000 6,439,482,000 6,425,431,000 6,425,952,000 6,420,148,000 6,408,523,000 6,406,842,000 6,402,415,000 6,583,092,000 6,584,132,000 6,950,599,000 6,574,441,000 6,569,122,000 CalWORKs Program (Actuals) \/1 5,452,464,887 5,644,024,929 5,228,224,151 5,065,837,696 5,234,304,599 4,726,460,275 4,977,898,939 4,827,632,403 4,780,360,853 5,035,819,569 5,341,526,077 5,341,519,431 5,576,729,520 5,303,820,001 3,035,745,000 Grants 3,728,895,597 3,409,184,226 3,110,590,925 3,128,453,615 2,998,104,490 3,058,377,136 3,272,331,000 3,067,470,861 2,949,089,178 3,006,359,917 3,275,881,220 3,406,732,000 3,674,460,000 3,261,728,000 3,160,144,000 Administration 518,317,463 563,062,953 539,640,224 554,944,600 499,797,000 477,145,347 477,510,368 534,258,293 555,745,996 584,572,008 579,578,620 590,571,121 619,727,897 664,540,667 799,952,223 Services 450,275,279 569,166,870 659,554,385 725,821,297 766,605,000 593,584,707 666,412,363 692,825,442 717,380,363 804,993,424 829,198,822 798,905,700 784,790,383 841,538,887 1,013,016,865 Child Care 360,733,329 524,045,984 571,661,082 537,865,541 548,577,000 486,111,807 451,267,208 428,742,096 450,703,076 526,040,292 542,554,111 440,639,196 388,502,665 416,595,447 501,483,912 Substance Abuse\/Mental Health Svcs 21,212,219 67,946,896 96,777,535 98,752,643 118,377,109 111,241,278 110,378,000 104,335,711 107,442,240 113,853,928 114,313,304 104,671,414 109,248,575 119,417,000 128,306,000 CalWORKs Refocus \/4 (2,567,158,000) County Share of Admin\/Svcs \/2 80,807,136 82,344,889 70,220,490 63,070,804 65,344,000 53,410,000 61,429,000 57,462,000 27,550,000 36,489,082 27,214,878 8,368,000 Unallocated Reduction Tribal TANF\/3 71,001,000 69,750,000 69,073,000 78,420,000 87,703,000 Performance Incentives(budgeted) 373,031,000 510,618,000 250,000,000 20,000,000 302,844,000 Probation 201,413,000 201,413,000 201,413,000 201,413,000 201,413,000 201,413,000 67,138,000 Student Aid Commision 736,362,000 KinGAP 25,519,000 69,859,000 76,232,000 88,318,000 94,308,000 96,340,000 137,425,000 120,737,000 114,052,000 107,687,000 91,033,000 57,309,000 51,539,000 ARRA Subsidized Employment – ECF 158,508,000 200,348,000 ARRA Non-Recurrent Short Term Benefits ECF 176,233,000 18,775,000 Non MOE\/TANF in CDSS \/5 (11,269,000) (8,429,000) (7,708,000) (14,356,000) (2,330,000) (12,363,000) (10,322,000) (10,219,000) (197,460,000) (192,378,000) (196,041,000) (179,056,000) (158,118,000) (163,094,000) (275,602,000) Other MOE\/TANF in CDSS \/6 305,663,000 334,380,000 344,605,000 402,604,000 384,872,000 331,849,000 315,403,000 331,194,000 214,330,000 263,857,000 271,073,000 299,394,000 303,620,000 306,299,000 1,954,287,000 MOE In Other Department Budgets 402,839,000 410,869,000 466,450,000 474,184,000 377,043,000 461,401,000 411,967,000 500,527,000 476,424,000 1,005,748,000 714,079,000 668,044,000 641,575,000 683,180,000 489,775,000 State Support 29,016,000 26,714,000 26,592,000 29,198,000 23,979,000 27,242,000 27,462,000 26,060,000 24,909,000 25,774,000 28,131,000 27,687,000 29,180,000 31,155,000 31,155,000 Total Expenditures 6,380,126,887 6,608,971,929 6,285,095,151 6,228,739,696 6,295,513,599 5,824,320,275 5,883,854,939 5,771,534,403 5,435,988,853 6,259,557,569 6,343,821,077 6,892,156,000 6,772,215,520 6,297,089,001 6,110,964,000 Federal TANF 3,472,973,887 3,703,134,929 3,561,802,151 3,523,075,696 3,603,900,599 3,132,186,275 3,422,342,000 3,297,312,000 2,972,412,000 3,722,511,000 3,560,047,000 4,041,842,000 3,810,007,000 3,356,134,000 3,275,660,000 General Fund \/7 2,733,123,474 2,708,262,505 2,545,307,737 2,477,681,856 2,521,316,388 2,487,383,000 2,490,171,000 2,483,755,000 2,518,089,000 2,498,949,000 2,715,820,000 2,712,840,000 3,103,684,000 1,759,747,000 1,628,448,000 Other State Funds (ETF) 30,000,000 30,000,000 86,700,000 30,000,000 56,432,000 40,475,000 38,010,000 20,087,000 45,000,000 35,000,000 20,000,000 County Funds \/7 174,029,526 167,574,495 147,985,263 141,282,144 140,296,612 148,319,000 155,684,000 152,940,000 134,848,000 124,648,000 133,454,000 117,474,000 113,097,000 1,181,208,000 1,206,856,000 Total TANF transfers 284,965,000 531,654,000 606,149,000 497,376,000 636,521,000 675,546,000 475,396,000 689,917,000 798,270,000 468,773,000 442,017,000 440,818,000 440,163,000 449,192,000 458,158,000 Non-CalWORKs Transfers 5,339,000 70,793,000 100,135,000 85,579,000 191,489,000 176,409,000 175,403,000 169,793,000 186,921,000 197,931,808 192,243,500 180,684,149 Transfers to Stage 2, Title XX for Child Care, Tribal TANF and Reserves 284,965,000 531,654,000 600,810,000 497,376,000 565,548,000 575,411,000 389,817,000 498,428,000 621,861,000 293,370,000 272,224,000 253,897,000 242,231,192 256,948,500 277,473,851 TANF Grant\/Required MOE 6,640,971,000 6,639,655,000 6,457,111,000 6,439,482,000 6,425,431,000 6,425,952,000 6,420,148,000 6,408,523,000 6,406,842,000 6,402,415,000 6,583,092,000 6,584,132,000 6,950,599,000 6,648,392,000 6,569,122,000 General Fund Above Base MOE 97,889,000 Prior Year TANF Carryforward 617,020,000 854,309,000 520,661,000 503,004,000 283,783,000 509,190,000 545,245,000 638,369,000 424,356,000 457,466,000 119,532,000 117,100,000 233,398,000 71,508,000 ARRA – Emergency Contingency Funds 259,212,000 370,195,000 125,626,000 ARRA – Subsidized Employment 159,386,000 215,348,000 ARRA – Non-Recurring ECF 176,233,000 27,225,000 Net TANF Block Grant Unspent Performance Incentives 600,000,000 High Performance Bonus 14,219,000 7,044,000 12,922,000 Total Available Funding 7,257,991,000 7,493,964,000 6,977,772,000 6,942,486,000 7,309,214,000 6,949,361,000 6,972,437,000 7,059,814,000 6,831,198,000 6,859,881,000 6,961,836,000 7,407,046,000 7,552,196,000 6,817,789,000 6,569,122,000 Total TANF\/MOE Expends 6,665,091,887 7,142,163,682 6,880,657,505 6,708,379,364 6,916,571,463 6,472,469,139 6,584,068,000 6,661,934,000 6,234,258,853 6,728,330,569 6,785,838,077 7,332,974,000 7,212,378,520 6,746,281,001 6,569,122,000 NET TANF Carry-over Funds \/8 592,899,113 351,800,318 97,114,495 234,106,636 392,642,537 476,891,861 388,369,000 397,880,000 387,492,000 75,498,000 74,072,000 91,187,000 71,508,000 CalWORKs contribution to the General Fund 708,502,000 745,249,000 1,021,913,000 1,126,647,000 1,088,940,000 1,163,238,000 1,087,321,000 1,299,448,000 1,184,134,000 1,745,291,000 1,268,997,000 1,262,046,000 1,234,159,808 1,239,031,500 2,676,285,000 *For 2010-11 Estimate: TANF Grant\/Required MOE amount increased by $365,900,000 to reflect the Budget Action request of an advance of TANF Funds in FY 2010-11. Revised 2\/6\/12 \/1 FY 2010-11 CalWORKS Program Expenditures (excluding pass through funding) for Administration, Services (including Mental Health\/Substance Abuse) and Child Care reflect actual expenditures (including overmatch for counties that exceed their allocation). Prior years’ expenditures remain the same (as previously published in this document). The Administration, Services, and Child Care figures for FY 2011-12 and FY 2012-13 reflect an adjustment to display the budgeted dollars based on FY 2010-11 actual expenditure levels. Other figures represent the last updated budget amounts. \/2 This is a non-add line because the estimated county share is included in the CalWORKs actual budgeted expenditures. \/3 The Tribal TANF funds reflected in FY 2008-09 were formally included in the Grants, Admin and Services sections but are now shown separately. \/4 FY 2012-13 CalWORKs Refocusing reflects savings from CalWORKs refocusing proposal and savings of moving Child Maintenance cases out of the CalWORKs Budget. \/5 FY 2012-13 Non-CalWORKs MOE\/TANF in CDSS includes $101,940,000 related to the Child Maintenance program. \/6 FY 2012-13 Other MOE\/TANF in CDSS includes $1,625,270,000 related to the Child Maintenance program. \/7 FY 2011-12 and FY 2012-13 reflects a shift of $1,086,897 and $1,128,001, respectively, for CalWORKs MOE Subaccount Funds (AB x1 16) due to realignment. \/8 Reflects the estimated amount of carry-over funds appropriated to the next year. Note: CalWORKs Contribution to the General Funds Includes KinGAP, Other MOE in CDSS, Other Department MOE, Student Aid Commission, Non CalWORKs TANF Transfers, WPR adjustment for meeting the rate, and, beginning in FY 2012-13, the Child Maintenance Program. Total Contribuition to the State General Fund to date $16,174,917,308.00 Total Contribution to the State General Fund if the Gov. Budget Enacted as Proposed $18,851,202,308.00 ”

” Coalition of California Welfare Rights Organizations, Inc. 1901 Alhambra Blvd. Sacramento, CA 95816 February 13, 2012 Issue # 2012-03 CCWRO Welfare News CCWRO is an IOLTA funded support center serving IOLTA legal services programs in California. Types of Services Offered: Litigation, Co-Counseling, Fair Hearing, Representation, Consultation, Informational Services, Research Services, In-Depth Consultation and Welfare Training. Programs Covered: CalWORKs, Welfare to Work (WtW), Food Stamps, Media Cal, General Assistance & Refugee\/Immigrant Eligibility. Refugee\/Immigrant Eligibility. All Rights Reserved. Contributors: Kevin Aslanian, Grace Galligher, Seth Blackmon, Stephen Goldberg and Diane Aslanian Who are the people on the line working as welfare workers, more commonly known as eligibility workers (EWs)? Generally they are high school graduates. Once hired, they go through a rigorous training program, given a caseload and then they are functioning EWs. They issue benefits to a lot of people and do a heroic job under difficult working conditions. They also make mistakes. Such mistakes can mean families end up homeless, families break up due to poverty or working welfare moms lose their jobs. EWs do not get continuing education and are not regularly certified like other professions. This is not the fault of the EW in any way, shape or form. It is the fault of the welfare system that promotes negative incentives in any situation to obtain cooperation from the people they allegedly serve. The welfare system has no positive incentives to obtain cooperation unlike most other regular business practices in our society. If the client does not do x their aid is stopped immediately. If a welfare mom does not go to job club when there are 14 people looking for three (3) available spots or because they did not have child care or transportation, boom their share of the grant is stopped. The welfare system never verifies that supportive services are actually available to the individual before demanding their appearance at job club. If they have a baby while on aid, no aid for the baby you should have had an abortion. And the list goes on and on. Thus, after several years, even good EWs make mistakes that cause devastation to families. Maybe they forgot what they were taught or did not read the memo informing them of a new policy. http:\/\/www\/ccwro.org Alternative to regular continuing education for welfare workers Program the computer to require employees to complete a quiz of the day before they are allowed to log on their computer. Private enterprise has faced the same phenomenon – a lot of work and no time for retraining or taking refresher courses. They have found a way to offer continuing education to their employees. Like EWs, corporate employees must log on to their computers daily. They turn on the computer, enter their pass code and start working. But, what if after entering the password each worker would have a simple quiz to answer before they were allowed to enter the system? For example: Does a food stamp applicant, eligible for expedited service, have to ask for expedited service before the EW has to issue food stamp benefits ? Yes__ No__. Each day there could be a different quiz targeted to Medi-Cal workers, WtW workers or social workers. It would take less than a minute to complete the quiz of the day. If the EW does not answer correctly, the answer would pop up so the EW could start work. If the worker is continuously failing to answer correctly, management should have the person enter a retraining program to upgrade his or her skills. Some may get fired. But that is better than poor people and families ending up homeless, broken and suffering extreme devastation. Statistic of the Month How much would welfare recipients contribute to the State General Fund under the Governor’s proposed 2012-2013 State Budget? 2011-2012 $1.2 billion 2012-2013 $2.7 billion 114% INCREASE over 1 year . See attachment revealing Welfare Recipient contributions to the State General Funds since 1997. Efficient Continuing Education for Welfare Workers CalWORKs and TANF Funding Chart 2\/12\/12 FY 1998-99 FY 1999-00 FY 2000-01 FY 2001-02 FY 2002-03 FY 2003-04 FY 2004-05 FY 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 Estimate 2012-13 GB Total TANF Grant\/Required MOE 6,640,971,000 6,639,655,000 6,457,111,000 6,439,482,000 6,425,431,000 6,425,952,000 6,420,148,000 6,408,523,000 6,406,842,000 6,402,415,000 6,583,092,000 6,584,132,000 6,950,599,000 6,574,441,000 6,569,122,000 CalWORKs Program (Actuals) \/1 5,452,464,887 5,644,024,929 5,228,224,151 5,065,837,696 5,234,304,599 4,726,460,275 4,977,898,939 4,827,632,403 4,780,360,853 5,035,819,569 5,341,526,077 5,341,519,431 5,576,729,520 5,303,820,001 3,035,745,000 Grants 3,728,895,597 3,409,184,226 3,110,590,925 3,128,453,615 2,998,104,490 3,058,377,136 3,272,331,000 3,067,470,861 2,949,089,178 3,006,359,917 3,275,881,220 3,406,732,000 3,674,460,000 3,261,728,000 3,160,144,000 Administration 518,317,463 563,062,953 539,640,224 554,944,600 499,797,000 477,145,347 477,510,368 534,258,293 555,745,996 584,572,008 579,578,620 590,571,121 619,727,897 664,540,667 799,952,223 Services 450,275,279 569,166,870 659,554,385 725,821,297 766,605,000 593,584,707 666,412,363 692,825,442 717,380,363 804,993,424 829,198,822 798,905,700 784,790,383 841,538,887 1,013,016,865 Child Care 360,733,329 524,045,984 571,661,082 537,865,541 548,577,000 486,111,807 451,267,208 428,742,096 450,703,076 526,040,292 542,554,111 440,639,196 388,502,665 416,595,447 501,483,912 Substance Abuse\/Mental Health Svcs 21,212,219 67,946,896 96,777,535 98,752,643 118,377,109 111,241,278 110,378,000 104,335,711 107,442,240 113,853,928 114,313,304 104,671,414 109,248,575 119,417,000 128,306,000 CalWORKs Refocus \/4 (2,567,158,000) County Share of Admin\/Svcs \/2 80,807,136 82,344,889 70,220,490 63,070,804 65,344,000 53,410,000 61,429,000 57,462,000 27,550,000 36,489,082 27,214,878 8,368,000 Unallocated Reduction Tribal TANF\/3 71,001,000 69,750,000 69,073,000 78,420,000 87,703,000 Performance Incentives(budgeted) 373,031,000 510,618,000 250,000,000 20,000,000 302,844,000 Probation 201,413,000 201,413,000 201,413,000 201,413,000 201,413,000 201,413,000 67,138,000 Student Aid Commision 736,362,000 KinGAP 25,519,000 69,859,000 76,232,000 88,318,000 94,308,000 96,340,000 137,425,000 120,737,000 114,052,000 107,687,000 91,033,000 57,309,000 51,539,000 ARRA Subsidized Employment – ECF 158,508,000 200,348,000 ARRA Non-Recurrent Short Term Benefits ECF 176,233,000 18,775,000 Non MOE\/TANF in CDSS \/5 (11,269,000) (8,429,000) (7,708,000) (14,356,000) (2,330,000) (12,363,000) (10,322,000) (10,219,000) (197,460,000) (192,378,000) (196,041,000) (179,056,000) (158,118,000) (163,094,000) (275,602,000) Other MOE\/TANF in CDSS \/6 305,663,000 334,380,000 344,605,000 402,604,000 384,872,000 331,849,000 315,403,000 331,194,000 214,330,000 263,857,000 271,073,000 299,394,000 303,620,000 306,299,000 1,954,287,000 MOE In Other Department Budgets 402,839,000 410,869,000 466,450,000 474,184,000 377,043,000 461,401,000 411,967,000 500,527,000 476,424,000 1,005,748,000 714,079,000 668,044,000 641,575,000 683,180,000 489,775,000 State Support 29,016,000 26,714,000 26,592,000 29,198,000 23,979,000 27,242,000 27,462,000 26,060,000 24,909,000 25,774,000 28,131,000 27,687,000 29,180,000 31,155,000 31,155,000 Total Expenditures 6,380,126,887 6,608,971,929 6,285,095,151 6,228,739,696 6,295,513,599 5,824,320,275 5,883,854,939 5,771,534,403 5,435,988,853 6,259,557,569 6,343,821,077 6,892,156,000 6,772,215,520 6,297,089,001 6,110,964,000 Federal TANF 3,472,973,887 3,703,134,929 3,561,802,151 3,523,075,696 3,603,900,599 3,132,186,275 3,422,342,000 3,297,312,000 2,972,412,000 3,722,511,000 3,560,047,000 4,041,842,000 3,810,007,000 3,356,134,000 3,275,660,000 General Fund \/7 2,733,123,474 2,708,262,505 2,545,307,737 2,477,681,856 2,521,316,388 2,487,383,000 2,490,171,000 2,483,755,000 2,518,089,000 2,498,949,000 2,715,820,000 2,712,840,000 3,103,684,000 1,759,747,000 1,628,448,000 Other State Funds (ETF) 30,000,000 30,000,000 86,700,000 30,000,000 56,432,000 40,475,000 38,010,000 20,087,000 45,000,000 35,000,000 20,000,000 County Funds \/7 174,029,526 167,574,495 147,985,263 141,282,144 140,296,612 148,319,000 155,684,000 152,940,000 134,848,000 124,648,000 133,454,000 117,474,000 113,097,000 1,181,208,000 1,206,856,000 Total TANF transfers 284,965,000 531,654,000 606,149,000 497,376,000 636,521,000 675,546,000 475,396,000 689,917,000 798,270,000 468,773,000 442,017,000 440,818,000 440,163,000 449,192,000 458,158,000 Non-CalWORKs Transfers 5,339,000 70,793,000 100,135,000 85,579,000 191,489,000 176,409,000 175,403,000 169,793,000 186,921,000 197,931,808 192,243,500 180,684,149 Transfers to Stage 2, Title XX for Child Care, Tribal TANF and Reserves 284,965,000 531,654,000 600,810,000 497,376,000 565,548,000 575,411,000 389,817,000 498,428,000 621,861,000 293,370,000 272,224,000 253,897,000 242,231,192 256,948,500 277,473,851 TANF Grant\/Required MOE 6,640,971,000 6,639,655,000 6,457,111,000 6,439,482,000 6,425,431,000 6,425,952,000 6,420,148,000 6,408,523,000 6,406,842,000 6,402,415,000 6,583,092,000 6,584,132,000 6,950,599,000 6,648,392,000 6,569,122,000 General Fund Above Base MOE 97,889,000 Prior Year TANF Carryforward 617,020,000 854,309,000 520,661,000 503,004,000 283,783,000 509,190,000 545,245,000 638,369,000 424,356,000 457,466,000 119,532,000 117,100,000 233,398,000 71,508,000 ARRA – Emergency Contingency Funds 259,212,000 370,195,000 125,626,000 ARRA – Subsidized Employment 159,386,000 215,348,000 ARRA – Non-Recurring ECF 176,233,000 27,225,000 Net TANF Block Grant Unspent Performance Incentives 600,000,000 High Performance Bonus 14,219,000 7,044,000 12,922,000 Total Available Funding 7,257,991,000 7,493,964,000 6,977,772,000 6,942,486,000 7,309,214,000 6,949,361,000 6,972,437,000 7,059,814,000 6,831,198,000 6,859,881,000 6,961,836,000 7,407,046,000 7,552,196,000 6,817,789,000 6,569,122,000 Total TANF\/MOE Expends 6,665,091,887 7,142,163,682 6,880,657,505 6,708,379,364 6,916,571,463 6,472,469,139 6,584,068,000 6,661,934,000 6,234,258,853 6,728,330,569 6,785,838,077 7,332,974,000 7,212,378,520 6,746,281,001 6,569,122,000 NET TANF Carry-over Funds \/8 592,899,113 351,800,318 97,114,495 234,106,636 392,642,537 476,891,861 388,369,000 397,880,000 387,492,000 75,498,000 74,072,000 91,187,000 71,508,000 CalWORKs contribution to the General Fund 708,502,000 745,249,000 1,021,913,000 1,126,647,000 1,088,940,000 1,163,238,000 1,087,321,000 1,299,448,000 1,184,134,000 1,745,291,000 1,268,997,000 1,262,046,000 1,234,159,808 1,239,031,500 2,676,285,000 *For 2010-11 Estimate: TANF Grant\/Required MOE amount increased by $365,900,000 to reflect the Budget Action request of an advance of TANF Funds in FY 2010-11. Revised 2\/6\/12 \/1 FY 2010-11 CalWORKS Program Expenditures (excluding pass through funding) for Administration, Services (including Mental Health\/Substance Abuse) and Child Care reflect actual expenditures (including overmatch for counties that exceed their allocation). Prior years’ expenditures remain the same (as previously published in this document). The Administration, Services, and Child Care figures for FY 2011-12 and FY 2012-13 reflect an adjustment to display the budgeted dollars based on FY 2010-11 actual expenditure levels. Other figures represent the last updated budget amounts. \/2 This is a non-add line because the estimated county share is included in the CalWORKs actual budgeted expenditures. \/3 The Tribal TANF funds reflected in FY 2008-09 were formally included in the Grants, Admin and Services sections but are now shown separately. \/4 FY 2012-13 CalWORKs Refocusing reflects savings from CalWORKs refocusing proposal and savings of moving Child Maintenance cases out of the CalWORKs Budget. \/5 FY 2012-13 Non-CalWORKs MOE\/TANF in CDSS includes $101,940,000 related to the Child Maintenance program. \/6 FY 2012-13 Other MOE\/TANF in CDSS includes $1,625,270,000 related to the Child Maintenance program. \/7 FY 2011-12 and FY 2012-13 reflects a shift of $1,086,897 and $1,128,001, respectively, for CalWORKs MOE Subaccount Funds (AB x1 16) due to realignment. \/8 Reflects the estimated amount of carry-over funds appropriated to the next year. Note: CalWORKs Contribution to the General Funds Includes KinGAP, Other MOE in CDSS, Other Department MOE, Student Aid Commission, Non CalWORKs TANF Transfers, WPR adjustment for meeting the rate, and, beginning in FY 2012-13, the Child Maintenance Program. Total Contribuition to the State General Fund to date $16,174,917,308.00 Total Contribution to the State General Fund if the Gov. Budget Enacted as Proposed $18,851,202,308.00 ”

” Coalition of California Welfare Rights Organizations, Inc. 1901 Alhambra Blvd. Sacramento, CA 95816 December 6, 2012 Issue # 2012-20 CCWRO Welfare News CCWRO is an IOLTA funded support center serving IOLTA legal services programs in California. Types of Services Offered: Litigation, Co-Counseling, Fair Hearing, Representation, Consultation, Informational Services, Research Services, In-Depth Consultation and Welfare Training. Programs Covered: CalWORKs, Welfare to Work (WtW), Food Stamps, Media Cal, General Assistance & Refugee\/Immigrant Eligibility. Refugee\/Immigrant Eligibility. All Rights Reserved. Contributors: Kevin Aslanian, Grace Galligher, Seth Blackmon, Stephen Goldberg and Diane Aslanian http:\/\/www\/ccwro.org Con’t on Page 2 such that a determination of continued eligibility cannot be made without it. We wonder if they have taken a good look at the SAWS 1. How would the SAWS 1, which is an application form, provide information to make an eligibil- ity determination? All the SAWS 1 asks for is the name of the applicant, the social security number of the applicant and some other information, like Immediate Need, etc. It seeks no information about members of the Assistance Unit (AU), the social security numbers of the members infor- mation that is vital to make any determination. Moreover the law and the regulations are clear ITC is not an applica- tion, therefore it would unlawful to require an ITC family to submit a SAWS 1 as a condition of eligibility. A simple re- view of MPP 40-187, that is the official state policy (not an underground rule like this Regulation Interpretation) does not even mention a SAWS 1 as a condition of transferring case from one county to another. Moreover, this regulation interpretation fails to mention the regulation that justifies county’s desire to seek a SAWS 1. 50\/50 Custody and Medi-Cal Eligibility. On August 23, 2012, Lori Lady from Tulare County asked DSS about the following scenario: Mom and dad share custody and care- taking responsibility of Maggie. Dad comes in and applies for CalWORKS for himself and Maggie. According to both parents, the court papers provided, both parents have 50% custody and legal responsibility for Maggie. Because of Medi-Cal regulations allow only one parent to be linked to Medi-Cal, would dad be allowed cash based Medi-Cal in the CalWORKs case? Mom is already receiving Medi- Cal. On September 10, 2012 somebody at DSS, (the name of the responder was withheld for some unlawful reason) responded as follows: No, dad would be granted CalWORKs cash aid only for himself and Maggie and his linkage to Medi-Cal would be suppressed. Mom would continue to receive Medi-Cal for herself and child. Had dad applied for CalWORKs first, he would have been granted case aid based Medi-Cal. Face-to-Face Interview for CalWORKs Not – On May 2, 2012 the County Welfare Directors Association (CWDA)- County Advisory Committee (CAT) asked DSS whether a face-to-face interview is required for CalWORKs redeter- mination interviews? Also, are electronic signatures accept- able for CalWORKs? On July 23, 2012 DSS responded that, Applications are acceptable through the use of an electronic or handwritten signature, transmitted by fax or other electronic transmission for both CalWORKs and Cal- Fresh programs (ACIN 1-14-11) Grant Reductions, CW sanctions and Penalties Equals Child Abuse – Recent research revealed that whenchildren in poverty receive 20 additional dollars a month it has a positive effect on the child’s devolopment. Conversely, the punitive provisions that CalWORKs laws are infested with, such as reduction of benefits for the family by 25% or more for failure to participate in a workfare activity, failure to immunize children under the age of 6, attendance of school by children and cooperation with child support that primarily benefits the government and not the children, are actually state acts of child abuse that if committed by the citizenry would be classified as a felony. Placer County Welfare Officials Save Another Life – Mr. 1BOLG45 had a huge share of cost that was preventing him from obtaining appropriate medical care. He was also work- ing part time and needed to be eligible for the 250% program. With the assistance of local welfare advocates, Mr. 1BOLG45 contacted Placer County early on 11-26-12 and by the end of the day, his 250% program was active effective 11-1-12. Kudos to Placer County. SIP Issue – Ana White, of the Los Angeles Department of Public Social Services GAIN Program Policy Section II, is the DPSS SIP analyst. ((562) 908-5741 [email protected].) On 7-2-12 she contacted Mr. Miller of DSS inquiring whether a per- son who is in a masters program and a teaching credential pro- gram, can be a SIP. Mr. Miller responded that; if the program is a blended credential and masters program, the SIP would be fine. There may be a problem if the credential is earned before the master degree is attained. Student Homework DSS Policy – On June 18, 2012, Counties asked DSS, what the state policy for counting student home- work for computing the federal TANF work participation rates is. DSS answered that the educational institution should develop a general policy about the number of hours of homework that are expected per class and used that policy to compute the number hours of homework needed. The policy, plus the classes taken by the student, should be sufficient verification for federal reporting purposes. DSS Wants Inter-Country-Transfer Recipients to Make an Ap- plication Without Legal Authority – Regulation Interpretation dated 97-12 asking whether a county receiving a inter-county- transfer (ITC) needs a new SAWS-1. Crystal Grant and Paulette Stokes of DSS responded on 9-20-12 that As the sending coun- ty is required to provide that most recent SAWS 1, a new SAWS 1 should not be needed unless the change in circumstances is In Brief Number of Unduplicated Participants During September, 2012 117,372 Gross Number of Unduplicated Participants Being Sanctioned 49,870 Number of Participants Sanctioned During September, 2012 8,886 Percentage of Gross Unduplicated Participants be- ing Sanctioned Duriong The Month of September 2012 42% Dollar Loss to CalWORKs Families Due to Sanc- tions this Month Estimates at $125 Per Sanction for During September 2012 $6.2 million Number of Unduplicated Participants Who Entered Employment That Resulted In Termination of Cal- WORKs During september 2012 4,286 Percentage of Unduplicated Participants Who En- tered Employment That Resulted In Termination of CalWORKs During September 2012 3% Taxpayer Cost Per Unduplicated Participants Who Entered Employment That Resulted In Termination of CalWORKs During September 2012 $27,232 Number of Participants NOT Being Paid Transpor- tation by the County During September 2012 64,473 Percentage of Number of Participants NOT Being Paid Transportation by the County During September 2012 55% Estimated Dollar Amount Poor Families Defrauded by Counties Not Receiving Transportation @ $100 Per Participant During September 2012 $6.4 million September 2012 California Welfare-to-Work Program Outcomes Report How Much Do We Spend and What Do We Get? 2012-2013 Welfare-to-Work Services Appropriation $936,188,654 million 2012-2013 Welfare-to-Work Child Care Stage 1 Appropriation $464,440,952 million Source: State Department of Social Services WtW 25 reports CCWRO Welfare News December 6, 2012 #2012-20 ”

” 1. I, ____________________________ SSN ____ ___ ______ hereby request a domestic violence waiver for the following Cal- WORKs program requirements because it would unfairly penalize my family and me: 60 month time clock MFG rule Child Support Cooperation DV Caused Overpayments Allowing a SIP WtW Sanction Participation in WtW Requiring teens 16-17 to be in school. Other ______________ ______________________________ 2. The following are the types of domestic violence I have experienced from ________________________________________________. Name of person PLEASE MARK THE BOX THAT DESCRIBES YOUR SITATION AND WHEN IT HAPPENED My abuser: Threatened or attempted physi- cal or sexual abuse upon me and\/or my family. From _______to _____________. Committed physical acts that threaten to result in injury to me. From _______to _____________. Committed physical acts that actually resulted in injury to me. From _______to _____________. Sexually abused me. From _______to _____________. I was forced as the caretaker relative of a dependent child to en- gage in nonconsensual sexual acts or activities. From _______to _____________. Threatened to kill or harm people or property. From _______to _____________. DOMESTIC VIOLENCE WAIVER REQUEST Threatened to kidnap my kids or me. From _______to _____________. Threatened to commit suicide, stalked me. From _______to _____________. Repeatedly used degrading or coercive language against me. From _______to _____________. Controlled my access to food and sleep From _______to _____________. Controlled or withheld access to economic and social resources From _______to _____________. I was in a relationship where I got hit, punched, kicked or hurt. From _______to _____________. Arguments often end with the person mentioned above pushing, shoving or slapping me. From _______to _____________. The person mentioned above has used a fist or weapon to hurt or threaten me. From _______to _____________. The person mentioned above forced me to engage in sex that makes me uncomfortable. From _______to _____________. The person above would disre- gard my decisions regarding safe sex or contraceptives. From _______to _____________. The person named above calls me names or puts me down. From _______to _____________. When he gets angry, he throws things around and sometimes at me. From _______to _____________. He accuses me of having af- fairs. He checks up on me. From _______to _____________. I have to ask for his permission to do things I want to do. From _______to _____________. I declare under penalty of perjury that he above statement is true and correct. Executed on _________________, _____ , in the City of _________________ State of California. BY_____________________________________ Authorization of Release and Representation Form I, __________________________, SSN _______________ hereby authorize the person designed below, or any other person\/attorney designated such person(s), to be my authorized representative, and to represent me, relative to my public social services matter, or any other matter, including the right to make statements on my behalf, or the filing for any fair hearing and the initiation of any litigation. This authorization shall also be construed as an authorization to release any and all information to the person(s) designed below or any person designated by them, including an attorney. I further authorize the person(s) below or any other persons designated by them to apply for and represent me during all aspects of the application process or any other matter relative to the process of eligibility determination for any and all benefits that I and\/or my family may be eligible for. PERSON AND\/OR ORGANIZATION DESIGNED Name: __________________________________________________________ Name:___________________________________________________________ Organization:_____________________________________________________ Address:_________________________________________________________ Telephone:_______________________________________________________ Dated: ____________ Signature __________________________________ CCWRO DV questionaire 8-07 AR form for DV Check Box19: Off Check Box18: Off Check Box17: Off Check Box16: Off Check Box15: Off Check Box14: Off Check Box13: Off Check Box12: Off Check Box11: Off Check Box2: Off Text9: Text10: Text11: Text12: Text13: Text14: Text15: Text16: Text17: Text18: Text19: Text20: Text21: Text22: Text23: Text24: Text25: Text26: Text27: Text28: Text29: Text30: Text31: Text32: Text33: Text34: Text35: Text36: Text37: Text38: Text39: Text40: Text41: Text42: Text43: Text44: Text45: Text46: Text47: Text48: Text1: Text2: Text3: Text4: Text5: Text6: Text7: Text8: Check Box21: Off Check Box22: Off Check Box23: Off Check Box24: Off Check Box25: Off Check Box26: Off Check Box27: Off Check Box28: Off Check Box29: Off Check Box201: Off Check Box202: Off Check Box31: Off Check Box33: Off Check Box205: Off Check Box206: Off Check Box207: Off Check Box208: Off Check Box2434: Off Check Box234: Off ”

” 1. I, ____________________________ SSN ____ ___ ______ hereby request a domestic violence waiver for the following Cal- WORKs program requirements because it would unfairly penalize my family and me: 60 month time clock MFG rule Child Support Cooperation DV Caused Overpayments Allowing a SIP WtW Sanction Participation in WtW Requiring teens 16-17 to be in school. Other ______________ ______________________________ 2. The following are the types of domestic violence I have experienced from ________________________________________________. Name of person PLEASE MARK THE BOX THAT DESCRIBES YOUR SITATION AND WHEN IT HAPPENED My abuser: Threatened or attempted physi- cal or sexual abuse upon me and\/or my family. From _______to _____________. Committed physical acts that threaten to result in injury to me. From _______to _____________. Committed physical acts that actually resulted in injury to me. From _______to _____________. Sexually abused me. From _______to _____________. I was forced as the caretaker relative of a dependent child to en- gage in nonconsensual sexual acts or activities. From _______to _____________. Threatened to kill or harm people or property. From _______to _____________. DOMESTIC VIOLENCE WAIVER REQUEST Threatened to kidnap my kids or me. From _______to _____________. Threatened to commit suicide, stalked me. From _______to _____________. Repeatedly used degrading or coercive language against me. From _______to _____________. Controlled my access to food and sleep From _______to _____________. Controlled or withheld access to economic and social resources From _______to _____________. I was in a relationship where I got hit, punched, kicked or hurt. From _______to _____________. Arguments often end with the person mentioned above pushing, shoving or slapping me. From _______to _____________. The person mentioned above has used a fist or weapon to hurt or threaten me. From _______to _____________. The person mentioned above forced me to engage in sex that makes me uncomfortable. From _______to _____________. The person above would disre- gard my decisions regarding safe sex or contraceptives. From _______to _____________. The person named above calls me names or puts me down. From _______to _____________. When he gets angry, he throws things around and sometimes at me. From _______to _____________. He accuses me of having af- fairs. He checks up on me. From _______to _____________. I have to ask for his permission to do things I want to do. From _______to _____________. I declare under penalty of perjury that he above statement is true and correct. Executed on _________________, _____ , in the City of _________________ State of California. BY_____________________________________ Authorization of Release and Representation Form I, __________________________, SSN _______________ hereby authorize the person designed below, or any other person\/attorney designated such person(s), to be my authorized representative, and to represent me, relative to my public social services matter, or any other matter, including the right to make statements on my behalf, or the filing for any fair hearing and the initiation of any litigation. This authorization shall also be construed as an authorization to release any and all information to the person(s) designed below or any person designated by them, including an attorney. I further authorize the person(s) below or any other persons designated by them to apply for and represent me during all aspects of the application process or any other matter relative to the process of eligibility determination for any and all benefits that I and\/or my family may be eligible for. PERSON AND\/OR ORGANIZATION DESIGNED Name: __________________________________________________________ Name:___________________________________________________________ Organization:_____________________________________________________ Address:_________________________________________________________ Telephone:_______________________________________________________ Dated: ____________ Signature __________________________________ CCWRO DV questionaire 8-07 AR form for DV Check Box19: Off Check Box18: Off Check Box17: Off Check Box16: Off Check Box15: Off Check Box14: Off Check Box13: Off Check Box12: Off Check Box11: Off Check Box2: Off Text9: Text10: Text11: Text12: Text13: Text14: Text15: Text16: Text17: Text18: Text19: Text20: Text21: Text22: Text23: Text24: Text25: Text26: Text27: Text28: Text29: Text30: Text31: Text32: Text33: Text34: Text35: Text36: Text37: Text38: Text39: Text40: Text41: Text42: Text43: Text44: Text45: Text46: Text47: Text48: Text1: Text2: Text3: Text4: Text5: Text6: Text7: Text8: Check Box21: Off Check Box22: Off Check Box23: Off Check Box24: Off Check Box25: Off Check Box26: Off Check Box27: Off Check Box28: Off Check Box29: Off Check Box201: Off Check Box202: Off Check Box31: Off Check Box33: Off Check Box205: Off Check Box206: Off Check Box207: Off Check Box208: Off Check Box2434: Off Check Box234: Off ”

” Expedited State hearing Request Before Department of Social Services I request an expedited State Hearing against the county of The reasons for the hearing is the county action regarding: Program Date Applied CWD Action CalWORK Immediate need Food Stamp Expedited Service Homeless Assistance Other (For other add a page that explains the problem for the hearing) CLAIMANT AND REPRESENATTIVE INFORMATION Claimant Name Last Name SSN Claimant Address Telephone I want the person below to represent me at this hearing: Name of Representative:________________________________________ Organization:_________________________________________________ Address________________________________Telephone_____________ Claimant\/AR signature: _______________________________Date:___________ (NOTE: This only needs to be completed if the claimant does not sign the hearing request.) AUTHRIZED REPRESENTATIVE CERTIFICATION: I hereby declare under penalty of perjury that I have been expressly authorized by the claimant herein to request this state hearing by signing his\/her name hereto and represent him\/her during all steps of the state hearing proceedings. Date:_______________ Place of Execution of this signature:________________. By __________________________________________ Signature of Declarent herein Text3: Text4: Text5: Text6: Text7: Text8: Text9: Text10: Text11: Text12: Text13: Text14: Text16: Text17: Text18: Text19: Text20: Text21: Text22: Check Box23: Off Check Box24: Off Check Box25: Off Check Box26: Off Check Box27: Off Text1: ”