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Diversion form 2026

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4.8 out of 5

238 votes

The Diversion Agreement Form outlines the mutual responsibilities of clients and the County Assistance Office (CAO) regarding the Diversion Program. It details the CAO's role in providing information on financial assistance options, job services, and community resources, while emphasizing the client's obligation to verify their financial needs and utilize Diversion payments appropriately. The document also includes acknowledgments about the implications of choosing Diversion benefits over ongoing cash assistance.

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Click ‘Get Form’ to open the Diversion Agreement Form in the editor.
Begin by entering your Client Name and Co/Record # in the designated fields at the top of the form.
Review the responsibilities outlined for both you and the CAO. Ensure you understand what is required from you, particularly regarding financial needs and community service agencies.
In the section provided, list any Community Service agencies that can assist you. Make sure to include relevant names and contact information.
Read through the acknowledgments carefully. Confirm your understanding of how choosing Diversion benefits affects your eligibility for other assistance programs.
Sign and date the form in the designated areas for both yourself and your CAO representative to finalize your agreement.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (98 Votes)
2019	4.3 Satisfied (36 Votes)
2019	4.8 Satisfied (69 Votes)
2017	4.8 Satisfied (108 Votes)
2016	4.8 Satisfied (238 Votes)
2016	4.8 Satisfied (145 Votes)
2016	4.8 Satisfied (114 Votes)
2016	4.3 Satisfied (176 Votes)
2016	4.5 Satisfied (53 Votes)
2016	4.1 Satisfied (20 Votes)
2014	4.8 Satisfied (178 Votes)
2011	4.2 Satisfied (51 Votes)
2011	4.8 Satisfied (61 Votes)
2011	4.8 Satisfied (86 Votes)
2010	4.9 Satisfied (481 Votes)

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