Soc 804 2026

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4.4 out of 5

47 votes

The document is a Statement of Facts form used by the California Department of Social Services to determine continuing eligibility for the Cash Assistance Program for Immigrants (CAPI). It includes questions regarding the recipient's health, income, living situation, and any changes in immigration status. The form requires detailed reporting of financial resources, assistance received, and any changes in household composition or residency. Recipients must certify the accuracy of their information and report significant changes to maintain eligibility.

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Click ‘Get Form’ to open the SOC 804 in the editor.
Begin by entering your Social Security Number and your spouse’s name at the top of the form. If any information is incorrect, cross it out and write the correct details.
Proceed to Section A, where you will indicate any physical or mental health problems. Provide brief explanations if applicable.
In Section B, answer questions regarding your current benefits such as Medi-Cal, Food Stamps, and SSI/SSP by selecting 'Yes' or 'No'.
Continue through Sections 1 to 11, answering questions about changes in your immigrant status, travel history, income sources, and assets. Attach any necessary documentation as proof.
Use the remarks section on Page 3 for additional information if needed. Finally, ensure all signatures are completed before submitting.

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Versions	Form popularity	Fillable & printable
2020	4.7 Satisfied (25 Votes)
1999	4.4 Satisfied (47 Votes)

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Can I work and receive CalWORKs?

You can work and still get CalWORKs cash aid as long as you are low income and remain eligible. When you add your earnings to your cash aid, you will have more $$$ for your family. Work also: Develops your job skills, and helps you get a better job.

How does CalWORKs calculate income?

CalWORKs regulations provide for a gross income limit which is determined by subtracting $450 from the earned income of each employed person, then adding all remaining earned and unearned income to determine the gross income for family.

How much does CalWORKs pay for a family of 3?

If you have little or no income, and you are a family of three, you can expect to receive a cash assistance of $925 per month. Thats how much CalWORKs pays for a family of three in California but may vary depending on where you live in California.

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What is the income reporting threshold for CalWORKs?

If you get income of $1001 or more you must report it to your worker within 10 days. If the income will continue, your cash aid benefits will be lowered or stopped with 10 day notice.

What is CalWORKs eligibility?

To be eligible for California CalWORKs, you must be a resident of California, and a U.S. citizen, legal alien or qualified alien. You must be unemployed or underemployed and have low or very low income. You must also be one of the following: Have a child 18 years of age or younger, or. Be pregnant, or.

What is the California cash assistance program for immigrants?

The Cash Assistance Program for Immigrants (CAPI) is a California program that provides cash assistance to low-income seniors and persons with disabilities who are not eligible for federal SSI due to their immigration status. Immigrants who are receiving SSI benefits are not eligible for CAPI.

Can undocumented immigrants get food stamps in California?

Despite being a federal program, SNAP is administered by the states. In the case of California, this program is known as CalFresh; and just like the SNAP plan, undocumented immigrants are not eligible for this benefit.

What is the income limit for CalWORKs?

Your family can only get CalWORKs if it has $10,888 or less in resources ($16,333 if the family includes someone with a disability or someone 60 or over). CalWORKs does not count some things as resources: Your home. Household goods (like furniture or appliances)

Soc 804 2026

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