Form Step 8 - Supportive Transitional Emancipation Program Transitional Independent Living Plan Page 6

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FINANCIAL
My sources of income include:
Work
STEP Payment
SSI
Trust Account
CalWORKs
Other (specify):________________________________________________________________________________________
I currently have a:
Checking Account
Savings Account
Neither
My plans to pay bills and manage money are:
Open a Checking Account
Open a Savings Account
Money Order’s
Cashier’s Checks
Other (specify) :________________________________________________
Signing this contract means that we will all work to complete the steps necessary to help the participant meet his/her goals. The
form shall be updated at least annually. The participant is responsible for informing the county whenever changes occur that
affect payment of aid, including changes in address, living circumstances, educational/career/training programs. The participant
understands that failure to follow the plan outlined herein may result in forfeiture of the STEP payments.
STEP PARTICIPANT
DATE
SERVICE PROVIDER
DATE
COUNTY REPRESENTATIVE
DATE
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