Form Soc 454 - Cash Assistance Program For Immigrants (Capi) Sponsor To Alien Deeming Worksheet

Download a blank fillable Form Soc 454 - Cash Assistance Program For Immigrants (Capi) Sponsor To Alien Deeming Worksheet 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 Soc 454 - Cash Assistance Program For Immigrants (Capi) Sponsor To Alien Deeming Worksheet 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

STATE OF CALIFORNIA-HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
CASH ASSISTANCE PROGRAM FOR IMMIGRANTS (CAPI)
SPONSOR TO ALIEN DEEMING WORKSHEET
INCOME
Gross income (earned and unearned) of the sponsor(s) and the
sponsor’s spouse (if living together).
$____________
Allocation for sponsor(s). Each sponsor’s allocation is
equal to the federal SSI rate* for an individual. (If the co-sponsors
are married (if living together), the total allocation is two
times the federal SSI rate.
$_____________
Subtract sponsor(s)’ allocation and enter result.
$_____________
Allocation for dependent(s) of the sponsor, which is equal to
one-half of the federal SSI rate for an individual for each
dependent (a spouse who is not a co-sponsor receives the
dependent allocation).
$____________
Subtract dependent(s)’ allocation and enter result (zero if a
negative number). This amount is deemed to the immigrant.
(Enter on line A.1.c of CAPI Income Eligibility worksheet.)
$____________
*As of January 1998, the federal SSI rate was $494. SSI rates normally increase each January.
RESOURCES
Total countable resources of the sponsor(s) and sponsor’s spouse
(if living together)
$_____________
Allocation for sponsor(s). Each sponsor’s allocation is equal to
the SSI resource limit of $2000 for an individual, or $3,000 for
a couple when both members of the couple are living together and
one member is not a co-sponsor. If both members of the couple are
co-sponsors, the allocation is twice the individual resource limit.
$____________
Subtract allocation and enter result (zero, if negative number).
This amount is deemed to the immigrant and should be added to
the recipient’s own resources to determine eligibility.
$_____________
Supervisor’s Signature: _________________________________ Date _______________
Worker: ______________________________________________ Date ______________
SOC 454 (4/99)

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form Soc 807a - Cash Assistance Program For Immigrants (capi) - Request For Waiver Of Overpayment Recovery - Without Fault Form Soc 807a - Cash Assistance Program For Immigrants (capi) - Request For Waiver Of Overpayment Recovery - Without Fault Legal
Form Soc 807 - Cash Assistance Program For Immigrants (capi) - Request For Waiver Of Overpayment Recovery - Income/expenses Form Soc 807 - Cash Assistance Program For Immigrants (capi) - Request For Waiver Of Overpayment Recovery - Income/expenses Legal
Form Soc 822 - Cash Assistance Program For Immigrants (capi) - Notification Of Inter-county Transfer Form Soc 822 - Cash Assistance Program For Immigrants (capi) - Notification Of Inter-county Transfer Legal
Form Soc 813 - Cash Assistance Program For Immigrants (capi) - Indigence Exception Determination Form Soc 813 - Cash Assistance Program For Immigrants (capi) - Indigence Exception Determination Legal
Form Soc 809 - Cash Assistance Program For Immigrants (capi) - Indigence Exception Statement Form Soc 809 - Cash Assistance Program For Immigrants (capi) - Indigence Exception Statement Legal
Form Soc 453 - Cash Assistance Program For Immigrants (capi) - Statement Of Household Expenses And Contributions Form Soc 453 - Cash Assistance Program For Immigrants (capi) - Statement Of Household Expenses And Contributions Legal
Form Soc 452a - Cash Assistance Program For Immigrants (capi) - Income Eligibility - Child Form Soc 452a - Cash Assistance Program For Immigrants (capi) - Income Eligibility - Child Legal
Form Soc 452 - Cash Assistance Program For Immigrants (capi) Income Eligibility - Adult Form Soc 452 - Cash Assistance Program For Immigrants (capi) Income Eligibility - Adult Legal
Form Soc 814 - Statement Of Facts Cash Assistance Program For Immigrants (capi) Form Soc 814 - Statement Of Facts Cash Assistance Program For Immigrants (capi) Legal
Form Na 692 - Notice Of Change - Cash Assistance Program For Immigrants (capi) Form Na 692 - Notice Of Change - Cash Assistance Program For Immigrants (capi) Legal

Related Categories

Parent category: Legal
Download
Go