Form Na 1274 - Electronic Notification Notice
Download a blank fillable Form Na 1274 - Electronic Notification Notice in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Na 1274 - Electronic Notification Notice with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
ELECTRONIC NOTIFICATION NOTICE
CASE NUMBER
CASE NAME
COUNTY WORKER NAME
This notice confirms your decision to get correspondence by electronic notification. If you did
not want electronic notices, please call your County Welfare Department (CWD) at
______________________________ immediately.
As part of the agreement to get electronic notifications you agreed:
To get correspondence from the CWD by electronic notification. Only households that sign the
●
Electronic Notification Agreement will receive alerts to view correspondence in their secure
personal online account.
To read all electronic notifications sent to your email account and to view the documents
●
through your secure personal online account.
To check your email account on a regular basis (we recommend at least every three days) to
●
make sure that you read time sensitive correspondence in a timely manner.
To keep the CWD informed if your email address changes by filling out a new Electronic
●
Notification Agreement within ten days of the change.
That notices sent to your personal secure online account are considered received by you when
●
the e-notification is received by your email, even if you do not read them.
That the CWD must give you a paper copy of any document posted in your secure personal
●
online account, if you ask for one.
That the CWD will switch back to traditional paper correspondence if the electronic notifications
●
could not be received by the email address you have provided.
That you can stop receiving electronic notifications at any time. To do so you only have to call
●
the CWD and tell them of your decision to switch back to paper correspondence.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Na 996 - Food Stamp Notice Of Discontinuance - Failure To Meet Non-assistance Cfap Work Rule (violation After Receipt Of Three Consecutive Month Grace Period)
Legal
Form Na 995 - Food Stamp Notice Of Denial/disqualification For The California Food Assistance Program
Legal
Related Categories
Parent category: Legal