Forms and documents
NA IHSS Back L - Your Hearing Rights
The NA IHSS Back L form focuses specifically on informing recipients of the In-Home Supportive Services (IHSS) program about their hearing rights. It provides detailed information about the rights individuals have during the hearing process related to their IHSS benefits.
NA 200 - Notice Of Action - Multipurpose - Include Budget
The NA 200 form, Notice Of Action - Multipurpose - Include Budget, is a multipurpose notice issued by the California Department of Social Services to inform recipients about actions taken on their case. It communicates changes in eligibility status, benefit amounts, or program participation.
NA 210 - Discontinue, Suspend Financial Eligibility
The NA 210 form is used to notify individuals receiving social services about the discontinuation or suspension of their financial eligibility.
NA 213 - Deny - Financial Eligibility
The NA 213 form is utilized by the California Department of Social Services to formally deny an individual's financial eligibility for social services. It provides a detailed explanation as to why the application or request for benefits has been denied.
NA 213A Notice Of Action Deny Financial Eligibility
The NA 213A form, also known as the Notice Of Action - Deny - Financial Eligibility, serves as an official notice to inform individuals that their application or request for social services benefits has been denied.
NA 215 - Continuation Page, Sponsor Non Citizens Deemed Income
The NA 215 form, also referred to as the Continuation Page, Sponsor Non-Citizens Deemed Income, is used to document the income calculation process for non-citizen sponsors within the context of determining eligibility for social services benefits.
NA 271 - Notice Of Action - Continuation Page - Family Income Computations - Cash Aid
The NA 271 form, known as the Notice Of Action - Continuation Page - Family Income Computations - Cash Aid, is a continuation page that accompanies the primary Notice Of Action document.
NA 274G - Notice Of Action - Continuation Page - Overpayment ComputationsВ OccurringВ On Or AfterВ 10/1/2013
The NA 274G form serves as a continuation page to the primary Notice Of Action document and is specifically used to provide detailed computations regarding overpayments that occurred on or after October 1, 2013.
NA 274H - Notice Of Action - Continuation Page - Overpayment Computations Between 6/1/2020 and 05/31/2021
The NA 274H form is a continuation page of the Notice Of Action provided by the California Department of Social Services. It specifically focuses on overpayment computations that occurred between June 1, 2020, and May 31, 2021.
NA 274I - Notice Of Action - Continued - Overpayment Amount Owed For Overpayments Occurring Between 6-1-2021 and 5-31-2022
The NA 274I form is a Notice Of Action that continues the communication regarding overpayment. It pertains to the amount owed for overpayments that occurred between June 1, 2021, and May 31, 2022.