Cw 5 2026

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The document is a form from the California Department of Social Services designed for verifying and referring veterans' benefits. It requires information about the veteran, including their Social Security Number, military details, and marital status, to assess eligibility for various aid programs. The form also includes sections for authorization and instructions for county welfare departments on how to process the verification and referral.

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Click ‘Get Form’ to open the cw 5 document in the editor.
Begin by entering the name and address of the County Veterans Service Office in the designated box at the top left.
In the lower left-hand corner, input the name and address of the County Welfare Department.
Check the appropriate request box to either verify or determine benefits for the veteran.
Fill in all required applicant information in Section I, including at least one of: Veteran’s Social Security Number, Military Serial Number, or VA Claim Number.
Complete Section II with claimant information, ensuring all fields are filled accurately.
In Section III, have the veteran or dependent sign and date the authorization statement.
Section IV will be completed by the County Veterans Service Office after submission.

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