Form Na 270 - Notice Of Action (Continuation Page)
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1NOTICE OF ACTION
COUNTY OF
STATE OF CALIFORNIA
HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
(Continued)
Notice Date
__________________________________________________________________________
Case
Name
__________________________________________________________________________
Number
__________________________________________________________________________
Rules:
These rules apply; you may review them at your welfare
office.
State Hearing:
If you think this action is wrong, you can ask for
a hearing. The back of page 1 tells how.
NA 270 (1/00) CONTINUATION PAGE
Page _________ of ________
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Parent category: Legal