Form Wtw Eoa2 - Notice Of Action
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1
2NOTICE OF ACTION
STATE OF CALIFORNIA
HEALTH AND HUMAN SERVICES AGENCY
COUNTY OF
CALWORKS EDUCATIONAL OPPORTUNITY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
AND ATTAINMENT (EOA) PROGRAM
Notice Date : ________________________________________________________________
Case
APPROVE FORM
Name
: ________________________________________________________________
Number
: ________________________________________________________________
Worker
Name
: ________________________________________________________________
Number
: ________________________________________________________________
Telephone : ________________________________________________________________
Address
: ________________________________________________________________
(ADDRESSEE)
________________________________________________________________
Questions? Ask your Worker.
State Hearing: If you think this action is
wrong, you can ask for a hearing. The
back of this page tells how. Your benefits
may not be changed if you ask for a
hearing before this action takes place.
MESSAGE:
The County has approved your $500 once
in a lifetime education bonus for graduating
from high school or its equivalent on or after
January 1, 2018, that you applied for on
______________________.
The County has approved your $1,000 once
in a lifetime education stipend for enrolling in
an education or training program that started
on or after January 1, 2018, that you applied
for on ______________________.
Rules: These rules apply: ACL 17-115 and
ACL 17-115E. You may review them at your welfare
office.
CalFresh and CalWORKs cash aid: This notice
DOES NOT stop or change your CalFresh or cash aid
benefits.
WTW EOA2 (12/17) REQUIRED FORM - NO SUBSTITUTE PERMITTED
PAGE ___OF ___
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