Form Wtw 9 - Welfare To Work Appraisal Appointment Letter

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STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
WELFARE TO WORK APPRAISAL APPOINTMENT LETTER
NAME
DATE
CASE NUMBER
SSA NUMBER
You are now required to participate in Welfare to Work.
You have volunteered to participate in Welfare to Work.
You are scheduled for an ____________________________ on _________________ at _____________ o'clock at
(orientation/appraisal)
(date)
___________________________________________________________________________________________
(address)
The purpose of this appointment is to get information from you that will help to decide what kind of activities
you should go to first. Then you will sign a Welfare to Work plan. The Welfare to Work plan will show what your
Welfare to Work activities are and what services the County may offer you. The Welfare to Work activities and
supportive services are described in the Welfare to Work Handbook, which you will receive from the County.
The Welfare to Work plan will also give you a detailed explanation of your rights, duties and responsibilities
under Welfare to Work.
This appointment is very important.
If you cannot keep this appointment, call ________________________________ at _____________________
(Welfare to Work worker)
(phone)
to schedule another date. If we are not available, please leave a message and we will get back to you.
WTW 9 (7/99) RECOMMENDED

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