California Department of Social Services

The NA 1231 form is a Notice of Action provided for the Cash Assistance Program for Immigrants. It specifically addresses cases where an overpayment has occurred, and a partial waiver request has been approved. This form serves to notify recipients about the partial waiver approval, providing detailed information regarding the waived portion, revised repayment terms, and any resulting adjustments to their benefits. It ensures that recipients have a clear understanding of the resolution of the overpayment and the impact on their benefits.

The NA 1232 form is a Notice of Action provided for the Cash Assistance Program for Immigrants. It pertains to cases where an overpayment has occurred, and a waiver request has been denied. This form serves to notify recipients about the denial of their waiver request, providing detailed information regarding the outstanding amount owed, repayment options, and any consequences associated with the overpayment. It ensures that recipients are informed about the denial and the necessary actions needed to address the overpayment.

Form PUB 273-A2 is a poster specifically focused on raising awareness about Shaken Baby Syndrome (SBS). This poster visually highlights the dangers of shaking a baby and the potential consequences of SBS. It displays key messages and graphics aimed at educating parents, caregivers, and the public about the importance of providing gentle care to infants and avoiding any actions that may harm their fragile bodies. The poster serves as a visual reminder and educational tool to promote understanding and prevent incidents of SBS.

The NA 1233 form is a Notice of Action provided by the California Department of Social Services. It is a multipurpose form used to communicate various actions, changes, or updates related to eligibility, benefits, or services across different programs. This form ensures that recipients receive detailed information about the specific action taken and any resulting implications or requirements. It serves as a comprehensive notification tool for addressing multiple types of actions within the social services context.

The NA 1239 AR form is a continuation page of the Notice of Action used specifically for annual reporting budgets. It is attached to the main Notice of Action form and provides supplementary information regarding changes, updates, or adjustments to the budget associated with an annual reporting requirement. This form ensures that recipients have a comprehensive understanding of the modifications made to their annual reporting budget and any potential impact on their benefits or services.

The NA 1239 SAR form is a continuation page of the Notice of Action used specifically for semi-annual reporting budgets. Similar to the NA 1239 AR form, it is attached to the main Notice of Action form and provides additional details regarding changes, updates, or adjustments to the budget related to a semi-annual reporting requirement. This form ensures that recipients have a complete overview of the alterations made to their semi-annual reporting budget and any consequences that may arise regarding their benefits or services.

The NA 1240 form is a Notice of Action provided by the California Department of Social Services. It addresses situations involving food stamp overissuance and dormant Electronic Benefit Transfer (EBT) accounts. This form serves to inform recipients about the overissuance of food stamps, the resulting balance owed, and any necessary steps to resolve the issue. Additionally, it provides information regarding dormant EBT accounts and actions required to reactivate or close them.

The NA 1250 form is a Notice of Action specifically related to the approval of services under the In-Home Supportive Services (IHSS) program. It serves as a formal notification to recipients that their application for IHSS has been approved. This form provides detailed information regarding the approved services, the hours granted, and any accompanying conditions or requirements. It ensures that recipients are aware of their approved support and can begin receiving the appropriate assistance.

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. This form aims to educate prospective adoptive parents and other individuals involved in the adoption process about the steps involved and the support available throughout the adoption journey.

The NA 1250L form is a Notice of Action provided by the California Department of Social Services. It is a variation of the NA 1250 form, specifically used for the approval of In-Home Supportive Services (IHSS). Similar to the NA 1250 form, it serves as a formal notification to recipients that their IHSS application has been approved. This form provides comprehensive information regarding the approved services, hours allocated, and any additional conditions or requirements.