Important Notice Regarding a Mailing Address (PA 1815)-2026

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The document is an important notice from the County of Los Angeles Department of Public Social Services, outlining the process for homeless individuals to use a district office address as their mailing address for receiving benefits such as CalWORKs, General Relief, and Medi-Cal. It details the responsibilities of the applicant regarding mail collection, notification of changes in residence, and compliance with reporting requirements. The document also includes a list of acceptable agencies that can send mail to the district office for homeless participants.

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Click ‘Get Form’ to open the Important Notice Regarding a Mailing Address (PA 1815) in the editor.
Begin by entering your Case Name and Case Number in the designated fields at the top of the form.
Indicate your mailing preference by checking the box stating 'I AM HOMELESS AND REQUEST TO USE THE DISTRICT OFFICE ADDRESS AS MY MAILING ADDRESS' or provide an alternative mailing address in the space provided.
Review and acknowledge each agreement regarding mail handling, ensuring you understand that important notices will be kept electronically and available for viewing on the Your Benefits Now (YBN) website.
Sign and date the form at the bottom to confirm your understanding and agreement to the terms outlined.

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2016	4 Satisfied (33 Votes)

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