Forms and documents
NA 1279 Notice of Action Deny Approved Relative Caregiver Payment
Form NA 1279 is a Notice of Action used to formally deny a payment request for an approved relative caregiver. This form provides detailed information explaining the reasons for the denial, which could include eligibility criteria not being met or missing documentation.
NA 1280 Notice of Action Discontinue Approved Relative Caregiver Payment
Form NA 1280 is a Notice of Action used to discontinue a payment that was previously approved for an approved relative caregiver. This form provides detailed information regarding the discontinuation, including the effective date and the reasons for discontinuation.
NA 1281 - Notice Of Action - Change Approved Relative Caregiver Payment
Form NA 1281 is a Notice of Action used to communicate changes in an approved relative caregiver's payment. This form provides detailed information about the changes, including the effective date, the new payment amount, and any conditions or requirements associated with the change.
NA 1282 - Notice Of Action In-Home Supportive Services Overpayment - Advance Pay
Form NA 1282 is a Notice of Action used specifically for overpayments related to advance pay in the In-Home Supportive Services (IHSS) program.
NA 1282L - Notice Of Action In-Home Supportive Services Overpayment - Advance Pay
Form NA 1282L is a variation of the Notice of Action used specifically for overpayments related to advance pay in the In-Home Supportive Services (IHSS) program.
PI 1 - SSA Data Incident Report
Form PI 1 is an incident report form used to report data incidents related to the Social Security Administration (SSA).
PI 2 - IRS Office Of Safeguards Data Incident Report
Form PI 2 is a data incident report form specific to the Internal Revenue Service (IRS) Office of Safeguards. This form is utilized to report incidents involving unauthorized access, use, or disclosure of sensitive data under the purview of the IRS.
PUB 13 - Your Rights Under California Public Benefits Programs - For People Applying For Or Receiving Public Aid In California
Form PUB 13 is a comprehensive informational document that outlines the rights of individuals applying for or receiving public aid in California.
PUB 13L - Your Rights Under California Public Benefits Programs - For People Applying For Or Receiving Public Aid In California
Form PUB 13L is a localized version of Form PUB 13, which serves the same purpose of informing individuals applying for or receiving public aid in California about their rights under the state's public benefits programs.
PUB 50A - Adoptions In California
Form PUB 50A is an informational publication that provides detailed guidance and resources on the adoption process in California. It covers various aspects of adoptions, including eligibility requirements, adoption agencies, home studies, legal procedures, and post-adoption services.