STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
END OF WELFARE-TO-WORK 24-MONTH TIME CLOCK REVIEW
CASE NUMBER ______________________________
You are scheduled for an appointment on __________________ at ________________
The purpose of this appointment is to review your
24-Month Time Clock and to adjust your Welfare-to-Work
plan to include activities that meet CalWORKs federal standards. This is a requirement you must meet after you have
used all of your Welfare-to-Work 24-Month Time Clock.
This appointment is very important.
If you cannot attend this appointment, please call your Welfare-to-Work worker, __________________________________,
at (______)_____________ to schedule your appointment for another date. If your worker is not available, please leave a
message before the appointment date and he or she will return your call.
Cash aid may be lowered if this appointment is not kept.
If you do not keep the scheduled appointment, it is your responsibility to reschedule it before the appointment date
provided in this letter.
To change your appointment, please contact your Welfare-to-Work worker.
You may be eligible for a Welfare-to-Work extension; an extension request form is included.
WTW 46 (1/15) RECOMMENDED