California Department of Social Services

Form PUB 269 serves as a comprehensive guide to California's Child Passenger Safety Law. The publication offers detailed information on the specific laws and regulations governing the transportation of children in motor vehicles. It includes age, height, and weight requirements for child safety seats, booster seat recommendations, proper installation techniques, information on seat belt use, and guidelines for children sitting in the front seat.

Form PUB 275 is an educational resource that provides detailed information on family planning and making informed choices for a healthy future. This publication covers various topics related to family planning, including contraceptive methods, reproductive health services, preconception care, sexually transmitted infection prevention, and responsible decision-making. It emphasizes the importance of proactive family planning to ensure personal well-being, the health of potential children, and the overall stability of families.

The NA 960X SAR form is a Notice of Action used when aid is discontinued due to the recipient's failure to submit a required report. This form serves as a formal notification to recipients that their aid has been stopped because the necessary report was not received. It provides detailed information about the reporting requirements, the implications of non-compliance, and any steps the recipient can take to resolve the issue and reinstate their benefits.

The NA 274J form is a Notice Of Action continuation page that addresses the overpayment amount owed for overpayments occurring on or after June 1, 2022. This document notifies recipients about the amount they owe as overpayment. By providing detailed calculations and explanations, this form ensures individuals understand the precise amount they need to repay for overpayments received beyond the specified date.

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. It serves as a formal notification tool, informing recipients in these specific situations about actions, changes, or updates related to eligibility, benefits, or services.

The NA 210 form is used to notify individuals receiving social services about the discontinuation or suspension of their financial eligibility. It provides a detailed explanation of the reasons for the decision, any applicable timeframes, and instructions on how to request a review or appeal the decision. The form aims to ensure transparency and allows recipients to fully comprehend the changes in their eligibility status. By providing clear information and an avenue for recourse, it enables recipients to understand the impact of the decision and take appropriate action.

The NA 301 form serves as a continuation page for the Applicant Financial Eligibility Test. It is designed to provide detailed information and calculations regarding the financial eligibility requirements for individuals who are applying for social services programs. By completing this form, applicants can gain a comprehensive understanding of their financial eligibility and determine whether they meet the criteria for receiving assistance.

The NA 1254 form is a Notice of Action used to provide continuation information for changes in In-Home Supportive Services (IHSS). It functions as an extension or follow-up to a previous change notice, providing recipients with updated details regarding the modification of their IHSS services. This form ensures that recipients are aware of any ongoing changes, updates, or adjustments to their approved services and can adapt accordingly to maintain the necessary care and support.

Form PUB 271 is an informational brochure that provides detailed information on the dangers of shaking a baby and the prevention of Shaken Baby Syndrome (SBS). This brochure explains why it is crucial never to shake a baby, as shaking can cause severe brain injuries and potentially be fatal. It educates caregivers, parents, and childcare professionals about the signs and symptoms of SBS, the importance of providing gentle and appropriate care for infants, and alternative strategies for soothing a crying baby.

Form LIC 9227 is used to develop individualized infant sleeping plans in child care facilities in California. This form addresses safe sleep practices for infants, taking into account factors such as age, developmental stage, and specific needs of each child. It includes considerations for sleep position, bedding, crib safety, pacifier use, and any medical or parental instructions.