Forms and documents
NA 1261A - Notice Of Action For Approved Relatives, Non-Relative Extended Family Members, Foster Family Homes, Non-Related Legal Guardians or Non-Minor Dependents Residing In A Supervised Independent Living Setting
Form NA 1261A is a Notice of Action provided by the California Department of Social Services for approved relatives, non-relative extended family members, foster family homes, non-related legal guardians, or non-minor dependents residing in a supervised independent living setting.
NA 1261B - Notice Of Action - Form And Instructions - For Kinship-Guardians Only
Form NA 1261B is a Notice of Action specifically designed for kinship-guardians. It includes both the form itself and accompanying instructions.
NA 1263 - Notice Of Action - Overissuance Budget Worksheet
Form NA 1263 is a Notice of Action used to communicate an overissuance budget worksheet to recipients. This form provides detailed information on the calculation and adjustment of benefits due to an overissuance in the CalFresh program.
NA 1267 - CalFresh Informing Notice Of Receiving Intercounty Transfer
Form NA 1267 is an informing notice used in the CalFresh program to notify recipients of the receiving county's acceptance of an intercounty transfer. This form provides recipients with detailed information about the transfer of their CalFresh benefits from one county to another.
NA 1268 - CalFresh Informing Notice Of Sending Intercounty Transfer
Form NA 1268 is an informing notice used in the CalFresh program to notify recipients of the sending county's initiation of an intercounty transfer. This form provides recipients with detailed information about the upcoming transfer of their CalFresh benefits from one county to another.
NA 1271 - Notice Of Action - Denial Of Home Assessment/Approval
Form NA 1271 is a Notice of Action used to formally deny a home assessment or approval request. This form provides detailed information to the applicant or recipient explaining the reasons for the denial of their request for a home assessment or approval.
NA 1273 - Electronic Notification Agreement
Form NA 1273 is an agreement form used to obtain consent from individuals to receive electronic notifications related to their benefits or services.
NA 1274 - Electronic Notification Notice
Form NA 1274 is a notice sent to individuals who have opted to receive electronic notifications for their benefits or services.
NA 1275 - Electronic Notification Cancellation Notice
Form NA 1275 is a notice sent to individuals who have previously consented to receive electronic notifications but have requested to cancel or revoke that consent.
NA 1277 - Notice Of Action - Approved Relative Caregiver Overpayment
Form NA 1277 is a Notice of Action used to inform approved relative caregivers about an overpayment in their benefits.