Important Forms
CalWorks Time Limit Exemption Request
CW 2186 A
ABE
Adult Basic Education
Child care payment are available for children ages ___ and under.
12
Activity Code 202
Assessment
Transportation: May be eligible for up to ___ months after cash aid is discontinued
12
WTW 32
Welfare to Work Compliance Plan
SIP
Self Initiated Program
Three types of Supportive Services
- Child Care
- Transportation
- Ancillary
Activity Code 311
Education Directly Related to Employment (no HS diploma/GED)
Child Care: May be eligible for up to ___ months after cash aid discontinues
24
Referral to Activity
Plan 109
SASH
Safe and Stable Housing
Reimbursement amount if participant exceeds 1,000 miles per month
.20 cents per mile
Community Service
Activity Code 307
Mileage reimbursement rate
.15 cents
Welfare to Work Plan-Rights and Responsibilities
WTW 1
ESE
Extended Subsidized Employment
What is WTW 753A
Travel Assistance Claim Form
Activity Code 317
Other Activity -Court Ordered/ one time KART pass/ Appt./ Goals
Allow ____ days for customer to call or request services
30
NA 818
Suspension of WTW- Volunteer
STEP
Subsidized Transitional Employment Program
Amount for Education Completion Incentive Procedure
$50
Activity Code 310
Job Skills- Employment (has a HS diploma/GED)
Ancillary Costs: May be eligible for up to ___ months after cash aid discontinues