California Department of Social Services

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. This form serves to provide detailed information and calculations related to the overpayments received during this period, ensuring that recipients have a clear understanding of the overpayment amounts and their associated computations.

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. It outlines the reasons for the overissuance, how it affects the recipient's benefits, and provides guidance on repayment or resolution options. The form ensures that recipients are informed about the overissuance and understand the steps they need to take to address the situation.

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. It outlines any applicable regulations or criteria that were not met and provides instructions or resources for appealing the decision or pursuing alternative options. The form ensures that applicants or recipients understand the denial and their available recourse.

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. It informs them of the effective date of the transfer, any changes or updates to their benefits, and provides instructions on how to access their benefits in the new county. The form ensures that recipients are aware of the transfer and can continue receiving their CalFresh benefits seamlessly.

Form NA 1274 is a notice sent to individuals who have opted to receive electronic notifications for their benefits or services. This form serves as a confirmation that the individual's request for electronic communication has been processed and that future notices will be delivered electronically. It provides important information such as the email address or online portal where the notifications will be sent, instructions for accessing the notifications, and contact information for any questions or concerns.

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. This form confirms the cancellation of electronic communication and informs the individual that future notices will be provided in paper format. It includes instructions on how to update their communication preferences if they wish to resume electronic notifications in the future.

Form NA 1277 is a Notice of Action used to inform approved relative caregivers about an overpayment in their benefits. This form provides detailed information regarding the overpayment, including the amount, the reason for the overpayment, and instructions on how to repay or resolve the overpayment. It ensures that approved relative caregivers are aware of the overpayment and understand the necessary steps to address the situation.

Form NA 1278 is a Notice of Action used to formally approve a payment for an approved relative caregiver. This form provides detailed information about the approved payment, including the amount, the payment frequency, and any applicable conditions or requirements. It ensures that approved relative caregivers have clarity on the approved payment and can expect to receive the designated financial support.

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. It may be due to changes in eligibility, circumstances, or program requirements. The form ensures that approved relative caregivers are informed about the discontinuation and can make necessary adjustments to their budget or seek alternative sources of support.

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. Similar to Form NA 1282, it serves as a formal notice to IHSS recipients regarding the overpayment and provides detailed information on the amount, reasons, and repayment or resolution options. This form ensures that IHSS recipients who received advance pay are informed about the overpayment and understand the necessary steps to rectify the situation.