California Department of Social Services

The NA 300 form is a continuation page of the Notice Of Action provided by the California Department of Social Services. Its purpose is to specifically address the recipient's financial eligibility test. This form serves to provide detailed information and calculations related to the financial eligibility requirements, ensuring that recipients have a clear understanding of their current financial status and how it impacts their eligibility for social services programs.

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. This form provides recipients with comprehensive information regarding the specific amount they are required to repay. It outlines the calculations and details associated with the overpayment, ensuring transparency and clarity in regards to the outstanding amounts owed.

The NA 281C form is a continuation page of the Notice Of Action provided by the California Department of Social Services. It specifically focuses on underpayment computations that occur on or after June 1, 2020. This form outlines the calculations and details related to the underpayments recipients are entitled to receive. By providing comprehensive information, it ensures transparency and facilitates understanding of the underpayment computations.

The NA 1252 form is a Notice of Action used by the California Department of Social Services to inform recipients of the denial of their application for In-Home Supportive Services (IHSS). It serves as a formal notification detailing the reasons for the denial and providing recipients with specific information about their ineligibility for IHSS. This form ensures that recipients understand the decision made and the available avenues for appealing the denial or seeking alternative forms of assistance.

The NA 421 form is a Notice Of Action that focuses on the Assistance Dog Special Allowance program. This form serves to notify recipients about the approval of their application for the assistance dog special allowance. By providing detailed information, this form ensures that recipients understand the approval status and the benefits they are eligible to receive for their assistance dog.

The NA 403A form is a Notice Of Action specifically designed for kinship guardians. It serves to communicate approval, changes, or discontinuation of benefits, services, or other relevant actions specifically for kinship guardianship situations. This form ensures that kinship guardians receive updated and accurate information regarding their eligibility, benefits, or any changes that may affect their status as guardians.

The NA 422 form pertains to the Assistance Dog Special Allowance program. It is used to provide comprehensive information and details regarding the assistance dog special allowance, including eligibility criteria, application process, and the benefits recipients can receive. This form serves as a resource for individuals seeking to understand and access the assistance dog special allowance program.

The NA 422L form is a Notice of Action specifically used for the Assistance Dog Special Allowance program. It serves as a formal notification to recipients regarding the denial of their application for the assistance dog special allowance. This form provides detailed information and reasons for the denial, ensuring that recipients understand the decision and can take appropriate action if desired.

The NA 532 form is a continuation page of the Notice Of Action that specifically addresses the discontinuation of benefits or services due to reaching the 60-month time limit. This form provides detailed information regarding the termination of benefits and includes budget-related information. By including budget details, this form offers comprehensive information about the financial considerations associated with the discontinuation of benefits after reaching the specified time limit.

The NA 532 form is a continuation page of the Notice of Action that addresses the discontinuation of benefits or services due to reaching the 48-month time limit. This form provides further information regarding the termination of benefits and any necessary actions or transitions required as a result. It ensures that recipients are well-informed about the discontinuation of their benefits after reaching the specified time limit.