Self-Certification Form For Motor Vehicles - Calworks (Page 2 of 4) in pdf

Self-Certification Form For Motor Vehicles - Calworks Page 2

All County Letter No. 15-27

Page Two

Current Rules (AU Members under 18)

The CW 80 form has been revised to exclude members of the AU under the age of 18.

CalWORKs MPP Section 42-215.453 provides an exclusion for a vehicle that is driven by a

household member under 18 years of age to commute to and from employment, or to and from

training or education which is preparatory to employment or to seek employment, and states

that these vehicles shall not be evaluated for equity value when used expressly for these

purposes. This exclusion remains unchanged and still applies for household members under

the age of 18. The form also includes revisions that make it easier to follow.

DMV Verification

If the client states on the CW 80 form that the vehicle was obtained as a gift, donation, or

family transfer, the client must obtain verification from the DMV of such transaction. The DMV

will charge a $5.00 fee for the transfer verification. If the client does not have the ability to pay

this fee, the CWD must assist the client by paying the fee.

CWDs must give clients adequate time to apply and receive verification from DMV. However,

in the event that the client has requested the verification from the DMV, paid the fee, and is

currently waiting for the vehicle(s) transfer verification, the CWD shall give the client 30 days

from the date the client requested the verification for the DMV to mail the verification to the

client and provide the documentation to the CWD.

If the CWD determines that, at no fault of the client, the DMV has failed to provide the transfer

verification to the client, the client will be given an additional 30 days to submit the DMV

verification. If the DMV verification has not been provided by the client to the CWD by the 60th

day, the worker will begin the process to discontinue the case if the value of the client’s vehicle

puts the AU over the maximum allowable resource limit.

SAWS 2 Plus

CDSS will be updating the SAWS 2 Plus application to include an Appendix page that mirrors

the CW 80. The revised SAWS 2 Plus will be available beginning April 1, 2015. When the

revised SAWS 2 Plus is available, the CW 80 will only be used in conjunction with mid-period

reports. In the interim, CWDs will continue to have clients use the current SAWS 2 Plus and

the CW 80 form at application and redetermination.

Process of Requesting a Substitution

Required Form-Substitute Permitted: Forms in this category are required forms for

which modifications or substitutions with prior CDSS approval are permitted. CWDs may

modify these forms to add or obtain information that does not (a) conflict with program

policy/regulations, or (b) change the legal content of the form. Substitute forms must be

Self-Certification Form For Motor Vehicles - Calworks Page 2