2133 CR
FORMS
DEADLINE SCHEDULE
BIG 3
CONFIDENTIALITY
100

What does CAAP offer?

Access to Jobs (JOBSNOW program)

Cash Benefits up to $687 per mos.

Assistance applying for SSI

Shelter Placement

100

What form do you use for 90 days of Aid?

Form 2119

(ID Module)

100

When do clients receive their CAAP grant?

1st of every month


100

How can you verify property ownership?      

Property Tax Bill, mortgage documents, city Assessor's Office, SF Planning Property Map    

( Real Property module pg.12 )

100

Where do we discard confidential client documents?

In the gray garbage bin with a lock.

(To discard client confidential information place it in locked bin marked “Confidential)

200

A CAAP applicant is required to attend __________ prior to receiving cash aid benefits?

Orientation

(OLM 93-6.1 CAAP Orientation)

200

What's the difference between DL 933 and DL 937?

  • Form DL 933 (No Fee Identification Card Eligibility Verification): Issued to homeless clients who request CID and are eligible for the one-time assistance.

  • Form DL 937 (Reduced Fee Identification Card Eligibility Verification): Issued to housed clients who request CID and are eligible for the one-time DMV fee.

200

If the initial intake day was on 2/17/23, what would be the final intake day?

2/27/23

(CAAP INTAKE FEB 2023 APPT & CASHOUT LIST)

200

Meryl has $700 in checking, is getting $690 for Unemployment and a 401K worth $2,000. Does she qualify for PAES?

NO

(max grant for PAES is $687)

200

If a client wants to view their case record, who do we refer them to?

Refer to Principal Clerk 415-558-1160

(Wk 1, EW Confidentiality Procedure Handout)

300

If you are homeless, how would you verify your residency?

You may be able to get a letter of residency from a community agency that you visit regularly for their services.

(2133 CR) 

300

What form do we use to verify a bank account?

Form 801

300

If the notice of action is manually prepared, it must be in the mailroom by 4 p.m. on the date of the notice.  

True or False?

False

(2pm if mailing manually)

300

Paul has a car worth $9,000, $400 in checking and $1,600.00 in savings, does he qualify for PAES?

Yes

(Refer to Potential Income Module)

300

What is the form called for Authorization to release information outside HSA?

Form 8014/8015 

(Authorization to Release Information ( ROI)

400

What can the Client do if they disagree with their denial?

Request a fair hearing

(2133 CR) 

400

If a client does self declaration of a fleeing felon status, what form should be used?

Forms 2133/2133r


400

Fiscal cutoff the first day to discontinue a case?

True or False?

False, its the last day to discontinue a case.

400

Jane Fonda received $350 in VA benefits, and has a Roth IRA worth 1,000 and $999 in savings, does she qualify for GA?

Yes

(she is below the threshold)

400

What year was the City Of Refuge passed in San Francisco?

1989

(Sanctuary City FAQ)

500

What does presumptive eligibility mean?

Presumptive Eligibility (P.E.) means that your probable eligibility to County Adult Assistance Programs exists based on the facts and the evidence you presented and on the pending verifications of such facts and other information in your case.

500

What is the form used for flagging yellow dot/red dot client?

Form 2211

(Security Module, slide 15)

500

What is manual NOA cutoff for the current month?

3/21/2023


500

What is the type of insurance that is counted as a liquid asset?

Whole Life Policies - Cash surrender value

(personal property, slide 8)

500

Confidentiality only applies to clients? 

True or False

False

(Clients and Staff)