2007 mc 194 social administration-2025

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The document is a referral notice from the California Department of Health Care Services to the Social Security Administration (SSA) regarding clients applying for or receiving Food Stamps, Cash Aid, or Medi-Cal. It outlines instructions for the County Welfare Department (CWD) and recipients on how to complete and submit the form, as well as the necessary documentation required by SSA. The document emphasizes the importance of obtaining a social security number for eligibility in these programs and provides guidelines on acceptable identification documents.

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Click ‘Get Form’ to open the 2007 mc 194 social administration in the editor.
In Part I, enter the complete county welfare office name and address in the designated brackets. This information is crucial for proper processing.
Fill out the recipient's information, including their name, date of birth, and Social Security Number (SSN) in Section D. Ensure accuracy as this will be verified by the SSA.
For Section E, provide details about the eligibility worker, including their name and phone number. This helps streamline communication between parties.
In Part II, leave space for the SSA to complete their section after receiving the form. This includes results of referral and any necessary comments.

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Versions	Form popularity	Fillable & printable
2012	4.8 Satisfied (92 Votes)
2007	4.4 Satisfied (356 Votes)

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