Form Wtw 29 - Plan To Meet Welfare-To-Work Rules And Get My Cash Aid Back
Download a blank fillable Form Wtw 29 - Plan To Meet Welfare-To-Work Rules And Get My Cash Aid Back 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 Wtw 29 - Plan To Meet Welfare-To-Work Rules And Get My Cash Aid Back 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
PLAN TO MEET WELFARE-TO-WORK RULES AND GET MY CASH AID BACK
INSTRUCTIONS TO THE COUNTY: This form is only used to restore cash aid for an individual who did not meet Welfare-to-Work rules.
It does not replace the WTW 2, Welfare-to-Work Plan - Activity Assignment, which must be modified to communicate any changes in the
individual’s Welfare-to-Work requirements and supportive services needs, once this plan is no longer in effect.
CLIENT’S NAME (PLEASE PRINT):
CASE #:
DATE:
CASEWORKER’S NAME (PLEASE PRINT):
WORKER #:
PHONE #:
(
)
MY PLAN TO MEET WELFARE-TO-WORK RULES AND GET MY CASH AID BACK
ACTIVITY #1:
ACTIVITY #2:
BEGINS:
ENDS:
BEGINS:
ENDS:
LOCATION:
LOCATION:
PHONE #:
PHONE #:
(
)
(
)
SCHEDULE:
SCHEDULE:
TOTAL HOURS/WEEK:
TOTAL HOURS/WEEK:
COMMENTS/OTHER INSTRUCTIONS:
I understand that:
To get my cash aid back, I must do what this plan says for up to 30 calendar days from the date I sign this plan, or for the length
of the activity, whichever is shorter.
If the activity that the county asked me to do before is no longer available or right for me, I may have to do other activities to get
my cash aid back.
The county cannot ask me to do an activity for a longer time than the length of the activity that led to losing my cash aid.
If I do not sign my plan, or do not do what my plan says without a good reason, I will not get my cash aid back.
The county will pay for supportive services (transportation, child care, and work- or training-related expenses) that I need to do
the activity in my plan. The county will give me more information about these services in other notices.
Once I do what my plan says to get my cash aid back, my aid will be restored as of ___________. I may then be required to
continue in the same activity, or start a new activity. If I have a Welfare-to-Work plan, it will be updated to tell me of any changes
in my Welfare-to-Work requirements and supportive services needs.
Once I get my cash aid back, I can lose my cash aid again if I stop doing the activity I am assigned to without a good reason.
I can file for a State hearing if I disagree with the county about any part of my plan.
I understand that I will receive a copy of this “Plan To Meet Welfare-to-Work Rules and Get My Cash Aid Back”
and, if I have any questions about the information in my plan, I can ask my worker.
CLIENT’S SIGNATURE:
DATE:
If you are sending this plan to your worker by
mail, it must be signed and postmarked by
______________, or you will not get your cash aid
CASEWORKER’S SIGNATURE:
DATE:
back.
WTW 29 (8/15) REQUIRED FORM - SUBSTITUTE PERMITTED
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form 14.0 - Application To Approve Settlement And Distribution Of Wrongful Death And Survival Claims
Legal
Form 14.0 - Application To Approve Settlement And Distribution Of Wrongful Death And Survival Claims
Legal
Related Categories
Parent category: Legal