Public Social Services Resource Guide Table of Contents

Transcription

1 Los Angeles County Department of Public Social Services Resource Guide 2011

2 Public Social Services Resource Guide Table of Contents General Information Contact Information Sheet Apply Online or Review Your Benefits Flyer Offices by Service Planning Area (SPA & Zip Code) Domestic Violence Referral Sheet Domestic Violence Brochure Toy Loan Program Fact Sheet Toy Loan Program Brochure Most Commonly Required Documents List for All Programs CalWORKs CalWORKs Fact Sheet Applying for CalWORKs Homeless Program for Families with Eligible Children Rights, Responsibilities and Other Important Information Sample Application for Cash Aid, CalFresh and Medi-Cal Statement of Fact for Cash Aid, CalFresh and Medi-Cal General Relief General Relief Fact Sheet General Relief Restructuring Fact Sheet Veterans Projects Cash Assistance Program for Immigrants (CAPI) Cash Assistance Program for Immigrants (CAPI) Fact Sheet Cash Assistance Program for Immigrants (CAPI) Brochure CalFRESH CalFresh Program Fact Sheet Restaurant Meals Fact Sheet Restaurant Meals Participating Restaurants Sample Application for CalFresh Benefits Medi-Cal Medi-Cal Program Quarterly Fact Sheet Sample Application for Medi-Cal In-Home Supportive Services (IHSS) In-Home Supportive Services (IHSS) Fact Sheet

3 General Information Contents Contact Information Sheet Apply Online or Review Your Benefits Flyer Offices by Service Planning Areas (SPA & Zip Code) Domestic Violence Referral Sheet Domestic Violence Brochure Toy Loan Program Fact Sheet Toy Loan Program Brochure Most Commonly Required Documents List for All Programs

4 Los Angeles County Department of Public Social Services PROGRAMS: CALWORKS CalFresh MEDI-CAL GENERAL RELIEF REFUGEE SERVICES IN-HOME SUPPORTIVE SERVICES ADULT PROTECTIVE SERVICES CASH ASSISTANCE PROGRAM FOR IMMIGRANTS COMMUNITY SERVICES BLOCK GRANT PROGRAM TOY LOAN Contact Information For help resolving individual constituent issues contact: Anthony F. Morrone, Director of Governmental Inquiry and Response Phone: (562) Fax: (562) For all other questions contact: Bill Taylor, Director of Intergovernmental Relations Phone: (562) Fax: (562)

5 Did You Know Now you can apply on-line or review your benefits for the following programs: CalWORKs CalFresh, or Medi-Cal Just visit us at COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC SOCIAL SERVICES

6 DEPARMENT OF PUBLIC SOCIAL SERVICES OFFICES BY SERVICE PLANNING AREA (SPA) & ZIP CODES DISTRICT / REGIONAL OFFICES Lancaster 349-B E. Ave. K-6 Lancaster, CA PROGRAMS ADMINISTERED *CW/*GR/*FS/*MC Lancaster General 337 East Ave K-10 Lancaster, CA PROGRAMS ADMINISTERED GR/GROW GAIN Region II Palmdale Sub-Office 1050 E. Palmdale Blvd. Ste. 204 Palmdale, CA SPA 1 ANTELOPE VALLEY DISTRICT / REGION NO. ZIP CODES SERVED DIVISION SUPERVISORIAL DISTRICT II 91390, 93510, 93523, 93532, 93534, 93535, 93536, 93539, 93543, 93544, 93550, 93551, 93552, 93553, 93563, 93582, 93591, 91390, 93510, 93523, 93532, 93534, 93535, 93536, 93539, 93543, 93544, 93550, 93551, 93552, 93553, 93563, 93582, 93591, I 5 I 5 Office served: Santa Clarita District #51 MAXIMUS 5 *CalWORKs (CW) *General Relief (GR) *Food Stamp (FS) *Medi-Cal (MC) *Refugee (REF) *Cash Assistance for Immigrants (CAPI) *Greater Avenue for Independence (GAIN) Page 1 of 20 IAR/GPD February 2011

7 DEPARMENT OF PUBLIC SOCIAL SERVICES OFFICES BY SERVICE PLANNING AREA (SPA) & ZIP CODES DISTRICT / REGIONAL OFFICES Glendale 4680 San Fernando Rd. Glendale, CA PROGRAMS ADMINISTERED CW/GR/FS/MC/REF East Valley Lanark St. Panorama City, CA PROGRAMS ADMINISTERED CW/FS/MC SPA 2 SAN FERNANDO VALLEY DISTRICT/ REGION NO. ZIP CODES SERVED DIVISION SUPERVISORIAL DISTRICT , 90039, 90041, 90042, 90065, 91011, 91020, 91201, 91202, 91203, 91024, 91040, 91042, 91046, 91201, 91202, 91203, 91204, 91205, 91206, 91207, 91208, 91210, 91214, 91352, 91501, 91502, 91505, 91506, 91510, 91523, 91601, 91602, 91331, 91401, 91402, 91405, 91604, 91605, 91606, 91607, I 5 I 3 *CalWORKs (CW) *General Relief (GR) *Food Stamp (FS) *Medi-Cal (MC) *Refugee (REF) *Cash Assistance for Immigrants (CAPI) *Greater Avenue for Independence (GAIN) Page 2 of 20 IAR/GPD February 2011

8 DEPARMENT OF PUBLIC SOCIAL SERVICES OFFICES BY SERVICE PLANNING AREA (SPA) & ZIP CODES DISTRICT / REGIONAL OFFICES San Fernando Branch 9188 Glenoaks Blvd. Sun Valley, Ca PROGRAMS ADMINISTERED GR/FS Santa Clarita Branch Camp Plenty Rd. Canyon Country, CA PROGRAMS ADMINISTERED CW/FS/MC West Valley Plummer St. Chatsworth, CA PROGRAM ADMINISTERED CW/FS/MC SPA 2 SAN FERNANDO VALLEY DISTRICT/ REGION NO. ZIP CODES SERVED DIVISION SUPERVISORIAL DISTRICT , 91302, 91303, 91304, 91306, 91307, 91311, 91316, 91324, 91325, 91326, 91330, 91335, 91340, 91342, 91343, 91344, 91345, 91356, 91361, 91362, 91364, 91367, 91403, 91406, 91401, 91423, 91436, 93063, 91411, 91321, 91350, 91351, 91354, 91355, 91380, 91381, 91382, 91383, 91384, 91387, 91390, 91301, 91302, 91303, 91304, 91306, 91307, 91311, 91316, 91321, 91324, 91325, 91326, 91330, 91335, 91340, 91342, 91343, 91344, 91345, 91356, 91359, 91361, 91362, 91364, 91367, 91403, 91406, 91411, 91423, 91436, I 3 I 5 I 3 *CalWORKs (CW) *General Relief (GR) *Food Stamp (FS) *Medi-Cal (MC) *Refugee (REF) *Cash Assistance for Immigrants (CAPI) *Greater Avenue for Independence (GAIN) Page 3 of 20 IAR/GPD February 2011

9 DEPARMENT OF PUBLIC SOCIAL SERVICES OFFICES BY SERVICE PLANNING AREA (SPA) & ZIP CODES DISTRICT / REGIONAL OFFICES Northridge Medi-Cal 9451 Corbin Ave Northridge, CA PROGRAM ADMINISTERED MC/CRAIG vs BONITA Multi Year Funding Northridge Medi-Cal 9451 Corbin Ave Northridge, CA Northridge Craig vs. Bonta 9451 Corbin Ave Northridge, CA GAIN Region II West San Fernando Valley Plummer St. Chatsworth, CA GAIN Region VII East San Fernando Valley 3307 N. Glenoaks Ave Burbank, CA SPA 2 SAN FERNANDO VALLEY DISTRICT/ REGION NO. ZIP CODES SERVED DIVISION SUPERVISORIAL DISTRICT 90 Countywide I 3 94 Countywide I 3 96 Countywide I 3 II VII Office served: Lancaster District #34 MAXIMUS 3 Offices served: East Valley District #11 Glendale District #02 MAXIMUS 5 *CalWORKs (CW) *General Relief (GR) *Food Stamp (FS) *Medi-Cal (MC) *Refugee (REF) *Cash Assistance for Immigrants (CAPI) *Greater Avenue for Independence (GAIN) Page 4 of 20 IAR/GPD February 2011

10 DEPARMENT OF PUBLIC SOCIAL SERVICES OFFICES BY SERVICE PLANNING AREA (SPA) & ZIP CODES DISTRICT / REGIONAL OFFICES Pasadena 955 N. Lake Ave Pasadena, CA PROGRAMS ADMINISTERED CW/GR/FS/MC San Gabriel Valley 3352 Aerojet Ave El Monte, CA PROGRAMS ADMINISTERED CW/GR/FS/MC/CAPI/REF El Monte 3350 Aerojet Ave El Monte, CA PROGRAMS ADMINISTERED CW/FS/MC SPA 3 SAN GABRIEL VALLEY DISTRICT / REGION NO. ZIP CODES SERVED DIVISION SUPERVISORIAL DISTRICT , 91101, 91103, 91104, 91105, 91106, 91107, 91108, 91011, 91016, 91006, 91023, 91030, 91125, 91126, 91007, 91731, 91732, 91733, 91744, 91754, 91770, 91776, 91780, 91801, 91006, 91007, 91016, 91748, 91010, 91706, 91731, 91732, 91733, 91744, 91745, 91746, 91754, 91770, 91776, 91780, 91789, 91801, 91803, I 5 V 1 V 1 *CalWORKs (CW) *General Relief (GR) *Food Stamp (FS) *Medi-Cal (MC) *Refugee (REF) *Cash Assistance for Immigrants (CAPI) *Greater Avenue for Independence (GAIN) Page 5 of 20 IAR/GPD February 2011

11 DEPARMENT OF PUBLIC SOCIAL SERVICES OFFICES BY SERVICE PLANNING AREA (SPA) & ZIP CODES DISTRICT / REGIONAL OFFICES Pomona 2040 W. Holt Ave Pomona, CA PROGRAMS ADMINISTERED CW/GR/FS/MC Medi-Cal Outreach (EAST) 3400 Aerojet Ave El Monte, CA PROGRAMS ADMINISTERED FS/MC Medi-Cal LTC Hospital Certification E. Gale Ave, City of Industry, CA PROGRAMS ADMINISTERED MC (IPW, CRAIG vs BONTA) SPA 3 SAN GABRIEL VALLEY DISTRICT / REGION NO. ZIP CODES SERVED DIVISION SUPERVISORIAL DISTRICT , 91010, 91702, 91706, 91709, 91710, 91711, 91722, 91723, 91724, 91733, 91740, 91741, 91744, 91745, 91746, 91748, 91750, 91763, 91765, 91766, 91767, 91768, 91773, 91789, 91790, 91791, 91792, 92621, 92821, 92823, V 1 16 Countywide II 1 80 Countywide II 1 *CalWORKs (CW) *General Relief (GR) *Food Stamp (FS) *Medi-Cal (MC) *Refugee (REF) *Cash Assistance for Immigrants (CAPI) *Greater Avenue for Independence (GAIN) Page 6 of 20 IAR/GPD February 2011

12 DEPARMENT OF PUBLIC SOCIAL SERVICES OFFICES BY SERVICE PLANNING AREA (SPA) & ZIP CODES DISTRICT / REGIONAL OFFICES Medi-Cal LTC IPW E. Gale Ave, City of Industry, CA Medi-Cal LTC Craig vs. Bonta E. Gale Ave, City of Industry, CA GAIN Region III San Gabriel Valley 3216 Rosemead Blvd. El Monte, CA SPA 3 SAN GABRIEL VALLEY DISTRICT / REGION NO. ZIP CODES SERVED DIVISION SUPERVISORIAL DISTRICT 81 Countywide II 1 97 III Countywide II 1 Offices served: El Monte District #04 Pasadena District #03 San Gabriel Valley District #20 V 1 CAL-LEARN Branch 3216 Rosemead Blvd. El Monte, CA III Pomona GAIN III Pomona Sub-Office 2255 N. Garey Ave Pomona, CA III Offices served: El Monte District #04 Lincoln Heights District #66 Pasadena District #03 Pomona District #36 San Gabriel Valley District #20 Offices served: Lincoln Heights District #66 Pomona District #36 V 1 V 1 *CalWORKs (CW) *General Relief (GR) *Food Stamp (FS) *Medi-Cal (MC) *Refugee (REF) *Cash Assistance for Immigrants (CAPI) *Greater Avenue for Independence (GAIN) Page 7 of 20 IAR/GPD February 2011

13 DEPARMENT OF PUBLIC SOCIAL SERVICES OFFICES BY SERVICE PLANNING AREA (SPA) & ZIP CODES DISTRICT / REGIONAL OFFICES Wilshire Special 2415 W. 6 th St. Los Angeles, CA PROGRAMS ADMINISTERED GR/FS/MC/CAPI Metro North 2601 Wilshire Blvd. Los Angeles, CA PROGRAMS ADMINISTERED CW/FS/MC/REF Lincoln Heights 4077 N. Mission Rd. Los Angeles, CA PROGRAMS ADMINISTERED CW/FS/MC SPA 4 - METRO DISTRICT/ REGION NO. ZIP CODES SERVED DIVISION SUPERVISORIAL DISTRICT , 90005, 90006, 90010, 90012, 90019, 90020, 90026, 90027, 90028, 90029, 90031, 90036, 90038, 90039, 90046, 90057, 90068, 90042, 90065, 91505, 91506, 91602, 91604, 91608, 90004, 90005, 90006, 90010, 90012, 90013, 90014, 90015, 90017, 90019, 90020, 90021, 90023, 90026, 90027, 90028, 90029, 90031, 90032, 90033, 90036, 90038, 90039, 90057, 90068, 90071, 90012, 90013, 90014, 90015, 90021, 90023, 90026, 90031, 90032, 90033, 90042, 90057, 90063, 90065, II 2 II 2 III 2 *CalWORKs (CW) *General Relief (GR) *Food Stamp (FS) *Medi-Cal (MC) *Refugee (REF) *Cash Assistance for Immigrants (CAPI) *Greater Avenue for Independence (GAIN) Page 8 of 20 IAR/GPD February 2011

14 DEPARMENT OF PUBLIC SOCIAL SERVICES OFFICES BY SERVICE PLANNING AREA (SPA) & ZIP CODES DISTRICT / REGIONAL OFFICES SPA 5 - WEST DISTRICT / REGION NO. ZIP CODES SERVED DIVISION SUPERVISORIAL DISTRICT Rancho Park W. Pico Blvd. Los Angeles, CA PROGRAMS ADMINISTERED CW/GR/FS/MC , 90016, 90019, 90024, 90025, 90028, 90034, 90035, 90036, 90043, 90045, 90046, 90048, 90049, 90056, 90064, 90065, 90066, 90067, 90068, 90069, 90073, 90077, 90094, 90210, 90211, 90212, 90263, 90265, 90272, 90290, 90291, 90292, 90293, 90301, 90302, 90401, 90402, 90403, 90404, 90405, 91301, 91302, 91356, 91364, 91604, II 2 *CalWORKs (CW) *General Relief (GR) *Food Stamp (FS) *Medi-Cal (MC) *Refugee (REF) *Cash Assistance for Immigrants (CAPI) *Greater Avenue for Independence (GAIN) Page 9 of 20 IAR/GPD February 2011

15 DEPARMENT OF PUBLIC SOCIAL SERVICES OFFICES BY SERVICE PLANNING AREA (SPA) & ZIP CODES DISTRICT / REGIONAL OFFICES Metro Family 2615 S. Grand Ave Los Angeles, CA PROGRAMS ADMINISTERED CW/FS/MC Civic Center 813 E. Fourth Pl. Los Angeles, CA PROGRAMS ADMINISTERED GR/MC Exposition Park 3833 S. Vermont Ave 2 nd Floor Los Angeles, CA PROGRAMS ADMINISTERED CW/MC Metro East 2855 E. Olympic Blvd. Los Angeles, CA PROGRAMS ADMINISTERED CW/GR SPA 6 - SOUTH DISTRICT / REGION NO. ZIP CODES SERVED DIVISION SUPERVISORIAL DISTRICT , 90007, 90011, 90015, 90018, 90021, 90037, 90058, 90006, 90011, 90012, 90013, 90014, 90015, 90017, 90021, 90026, 90057, 90058, 90071, 90002, 90008, 90016, 90019, 90031, 90037, 90043, 90044, 90047, 90059, 90061, 90062, 90012, 90022, 90023, 90031, 90032, 90033, 90040, 90042, 90058, 90063, 90065, 90201, 90255, 90270, 90660, 91754, III 2 II 2 II 2 III 2 *CalWORKs (CW) *General Relief (GR) *Food Stamp (FS) *Medi-Cal (MC) *Refugee (REF) *Cash Assistance for Immigrants (CAPI) *Greater Avenue for Independence (GAIN) Page 10 of 20 IAR/GPD February 2011

16 DEPARMENT OF PUBLIC SOCIAL SERVICES OFFICES BY SERVICE PLANNING AREA (SPA) & ZIP CODES DISTRICT / REGIONAL OFFICES Florence 1740 E. Gage Ave Los Angeles, CA PROGRAMS ADMINISTERED CW/FS/MC SPA 6 - SOUTH DISTRICT / REGION NO. ZIP CODES SERVED DIVISION SUPERVISORIAL DISTRICT , 90002, 90003, 90044, III 2 Compton 211 E. Alondra Blvd. Compton, CA PROGRAMS ADMINISTERED CW/FS/MC , 90061, 90220, 90221, 90222, 90745, 90746, 90747, IV 2 South Central S. Central Ave Los Angeles, CA PROGRAMS ADMINISTERED CW/GR/FS/MC Metro Special 2707 S. Grand Ave Los Angeles, CA PROGRAMS ADMINISTERED GR/FS/MC , 90003, 90059, 90061, 90220, 90222, 90262, 90002, 90006, 90007, 90008, 90011, 90014, 90015, 90016, 90018, 90019, 90021, 90037, 90043, 90059, 90061, 90062, 90071, 90302, IV 2 III 2 *CalWORKs (CW) *General Relief (GR) *Food Stamp (FS) *Medi-Cal (MC) *Refugee (REF) *Cash Assistance for Immigrants (CAPI) *Greater Avenue for Independence (GAIN) Page 11 of 20 IAR/GPD February 2011

17 DEPARMENT OF PUBLIC SOCIAL SERVICES OFFICES BY SERVICE PLANNING AREA (SPA) & ZIP CODES DISTRICT / REGIONAL OFFICES Medi-Cal Outreach (WEST) 2910 W. Beverly Blvd. Los Angeles, CA PROGRAMS ADMINISTERED FS/MC SPA 6 - SOUTH DISTRICT / REGION NO. ZIP CODES SERVED DIVISION SUPERVISORIAL DISTRICT , 90011, 90012, 90015, 90021, 90022, 90026, 90027, 90029, 90033, 90037, 90044, 90230, 90262, 90291, 90301, 90303, 90304, 90405, 90502, 90505, 90640, 90710, 90712, 90723, 90732, 90744, 90806, 90813, 91007, 91103, 91105, 91204, 91331, 91340, 91343, 91345, 91355, 91356, 91402, 91404, 91405, 91505, 91605, 91606, 91722, 91731, 91733, 91740, 91766, 91767, 91773, 91790, 91801, 93534, II 2 Medi-Cal Mail-In Application 2615 S. Grand Ave, 2 nd floor Los Angeles, CA Countywide II 2 *CalWORKs (CW) *General Relief (GR) *Food Stamp (FS) *Medi-Cal (MC) *Refugee (REF) *Cash Assistance for Immigrants (CAPI) *Greater Avenue for Independence (GAIN) Page 12 of 20 IAR/GPD February 2011

18 DEPARMENT OF PUBLIC SOCIAL SERVICES OFFICES BY SERVICE PLANNING AREA (SPA) & ZIP CODES DISTRICT / REGIONAL OFFICES GAIN Region IV Central County 3833 S. Vermont Ave 3 rd floor Los Angeles, CA GAIN Region IV Beverly Sub-Office 2910 W. Beverly Blvd. Los Angeles, CA SPA 6 - SOUTH DISTRICT / REGION NO. ZIP CODES SERVED DIVISION SUPERVISORIAL DISTRICT IV IV Office served: Exposition Park - District #12 Offices served: Florence District #17 Metro Family District #13 Metro North District #38 V 2 V 2 *CalWORKs (CW) *General Relief (GR) *Food Stamp (FS) *Medi-Cal (MC) *Refugee (REF) *Cash Assistance for Immigrants (CAPI) *Greater Avenue for Independence (GAIN) Page 13 of 20 IAR/GPD February 2011

19 DEPARMENT OF PUBLIC SOCIAL SERVICES OFFICES BY SERVICE PLANNING AREA (SPA) & ZIP CODES DISTRICT / REGIONAL OFFICES Belvedere 5445 Whittier Blvd. Los Angeles, CA PROGRAMS ADMINISTERED CW/FS/MC Cudahy 8130 S. Atlantic Ave Cudahy, CA PROGRAMS ADMINISTERED CW/FS/MC Norwalk Norwalk Blvd. Norwalk, CA PROGRAMS ADMINISTERED CW/FS/MC GAIN Region VI Southeast County 5460 Bandini Blvd. Bell, CA SPA 7 EAST DISTRICT / REGION NO. ZIP CODES SERVED DIVISION SUPERVISORIAL DISTRICT VI 90022, 90023, 90033, 90040, 90063, 90201, 90255, 90270, 90640, 90660, 90040, 90059, 90201, 90221, 90222, 90240, 90241, 90242, 90255, 90262, 90280, 90650, 90670, 90706, 90723, 90602, 90603, 90604, 90605, 90631, 90638, 90650, 90670, 90701, 90703, 90706, Offices served: Belvedere - District #05 Cudahy District #06 Metro East District #15 Norwalk District #40 III 1 III 1 III 4 V 1 *CalWORKs (CW) *General Relief (GR) *Food Stamp (FS) *Medi-Cal (MC) *Refugee (REF) *Cash Assistance for Immigrants (CAPI) *Greater Avenue for Independence (GAIN) Page 14 of 20 IAR/GPD February 2011

20 DEPARMENT OF PUBLIC SOCIAL SERVICES OFFICES BY SERVICE PLANNING AREA (SPA) & ZIP CODES DISTRICT / REGIONAL OFFICES GAIN Region VI Belvedere Sub-Office 5445 E. Whittier Blvd. Los Angeles, CA SPA 7 EAST DISTRICT / REGION NO. ZIP CODES SERVED DIVISION SUPERVISORIAL DISTRICT VI Offices served: Belvedere - District #05 Cudahy District #06 Metro East District #15 Norwalk District #40 V 2 *CalWORKs (CW) *General Relief (GR) *Food Stamp (FS) *Medi-Cal (MC) *Refugee (REF) *Cash Assistance for Immigrants (CAPI) *Greater Avenue for Independence (GAIN) Page 15 of 20 IAR/GPD February 2011

21 DEPARMENT OF PUBLIC SOCIAL SERVICES OFFICES BY SERVICE PLANNING AREA (SPA) & ZIP CODES DISTRICT / REGIONAL OFFICES South Special B Santa Fe Ave Rancho Dominguez, CA PROGRAMS ADMINISTERED GR/FS SPA 8 SOUTH BAY / HARBOR DISTRICT / REGION NO. ZIP CODES SERVED DIVISION SUPERVISORIAL DISTRICT , 90059, 90061, 90220, 90221, 90222, 90240, 90241, 90242, 90248, 90255, 90262, 90274, 90275, 90277, 90280, 90501, 90502, 90503, 90505, 90601, 90602, 90603, 90604, 90605, 90606, 90621, 90623, 90630, 90631, 90638, 90639, 90650, 90660, 90670, 90701, 90703, 90704, 90706, 90710, 90712, 90713, 90715, 90716, 90717, 90720, 90723, 90731, 90732, 90740, 90744, 90745, 90746, 90747, 90802, 90803, 90804, 90805, 90806, 90807, 90808, 90810, 90813, 90814, 90815, 90822, 90831, 90840, 90846, IV 4 *CalWORKs (CW) *General Relief (GR) *Food Stamp (FS) *Medi-Cal (MC) *Refugee (REF) *Cash Assistance for Immigrants (CAPI) *Greater Avenue for Independence (GAIN) Page 16 of 20 IAR/GPD February 2011

22 DEPARMENT OF PUBLIC SOCIAL SERVICES OFFICES BY SERVICE PLANNING AREA (SPA) & ZIP CODES DISTRICT / REGIONAL OFFICES Southwest Special 1819 W. 120 th St. Los Angeles, CA PROGRAMS ADMINISTERED GR/FS/MC Southwest Family 8300 S. Vermont Ave 3 rd floor Los Angeles, CA PROGRAMS ADMINISTERED CW/FS/MC/REF SPA 8 SOUTH BAY / HARBOR DISTRICT / REGION NO. ZIP CODES SERVED DIVISION SUPERVISORIAL DISTRICT , 90044,90045, 90245, 90047, 90201, 90230, 90249, 90250, 90260, 90266, 90277, 90278, 90303, 90304, 90504, 90505, 90001, 90002, 90003, 90037, 90043, 90044, 90230, 90043, 90044, 90045, 90047, 90056, 90059, 90061, 90094, 90222, 90230, 90245, 90247, 90248, 90249, 90250, 90254, 90255, 90260, 90261, 90262, 90266, 90277, 90278, 90280, 90292, 90293, 90301, 90302, 90303, 90304, 90305, 90501, 90502, 90503, 90504, 90505, 90506, 90710, 90745, IV 2 IV 2 *CalWORKs (CW) *General Relief (GR) *Food Stamp (FS) *Medi-Cal (MC) *Refugee (REF) *Cash Assistance for Immigrants (CAPI) *Greater Avenue for Independence (GAIN) Page 17 of 20 IAR/GPD February 2011

23 DEPARMENT OF PUBLIC SOCIAL SERVICES OFFICES BY SERVICE PLANNING AREA (SPA) & ZIP CODES DISTRICT / REGIONAL OFFICES South Family A Santa Fe Ave Rancho Dominguez, CA PROGRAMS ADMINISTERED CW/FS/MC/REF Paramount 2961 E. Victoria St. Rancho Dominguez, CA PROGRAMS ADMINISTERED CW/FS/MC Hawthorne Medi-Cal Regional Hawthorne Blvd. Hawthorne, CA PROGRAMS ADMINISTERED MC GAIN Region I West County GAIN 5200 W. Century Blvd. Los Angeles, CA SPA 8 SOUTH BAY / HARBOR DISTRICT / REGION NO. ZIP CODES SERVED DIVISION SUPERVISORIAL DISTRICT , 90221, 90704, 90712, 90720, 90731, 90740, 90744, 90745, 90802, 90803, 90804, 90806, 90807, 90708, 90810, 90813, 90814, 90815, 90822, 90831, 90840, 90846, 91760, IV , 90713, 90715, 90716, 90723, 90805, 90806, 90807, IV 2 92 Countywide II 2 I Offices served: Southwest Family District #83 West Los Angeles District #09 V 2 *CalWORKs (CW) *General Relief (GR) *Food Stamp (FS) *Medi-Cal (MC) *Refugee (REF) *Cash Assistance for Immigrants (CAPI) *Greater Avenue for Independence (GAIN) Page 18 of 20 IAR/GPD February 2011

24 DEPARMENT OF PUBLIC SOCIAL SERVICES OFFICES BY SERVICE PLANNING AREA (SPA) & ZIP CODES DISTRICT / REGIONAL OFFICES GAIN Region V South County 2959 Victoria St. Rancho Dominguez, CA Harbor GAIN One Stop 1851 N. Gaffey St. Ste. F San Pedro, CA /6279 SPA 8 SOUTH BAY / HARBOR DISTRICT / REGION NO. ZIP CODES SERVED DIVISION SUPERVISORIAL DISTRICT V V Office served: Compton District #26 V 2 Offices served: South Central District #27 South Family District #31 V 2 *CalWORKs (CW) *General Relief (GR) *Food Stamp (FS) *Medi-Cal (MC) *Refugee (REF) *Cash Assistance for Immigrants (CAPI) *Greater Avenue for Independence (GAIN) Page 19 of 20 IAR/GPD February 2011

25 COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC SOCIAL SERVICES DOMESTIC VIOLENCE REFERRAL SHEET IF YOU ARE A VICTIM OF DOMESTIC VIOLENCE, THE FOLLOWING INFORMATION COULD SAVE YOUR LIFE Violence in the family is a very serious problem. Many battered individuals suffer in silence and continue living with their abusers for years. Without professional help, the problem rarely goes away. In fact, it usually gets worse, starting with insults and threats and progressing to slaps, shoves and beatings. If the victim does NOT get professional help, the problem could end in serious injury or death. IN LOS ANGELES COUNTY, SERVICES ARE AVAILABLE TO HELP WITH THE FOLLOWING: Emergency Residential Services Restraining Orders Victims-Witness Assistance Law Enforcement Mental Health Services Health & Medical Services Individual/Group Counseling 24-HOUR DOMESTIC VIOLENCE HOTLINE (800) IF YOU WANT TO TALK TO SOMEONE DIRECTLY ABOUT YOUR OPTIONS, YOU CAN CALL THE FOLLOWING NUMBERS. UTILIZING THESE SERVICES DOES NOT REQUIRE YOU TO BE A SHELTER RESIDENT. ANTELOPE VALLEY AND PALMDALE CENTRAL AND WEST LOS ANGELES Antelope Valley DV Council (Valley Oasis)... (800) / Center for Pacific Asian Family... (800) (661) Chicana Service Center... (800) SANTA CLARITA VALLEY Children s Institute International...(213) Child and Family Center... (661) Community Counseling Services/Amanecer (213) Institute for Multicultural Counseling &...(866) / Educational Services (IMCES) (866) SAN FERNANDO VALLEY Prototypes...(323) / Domestic Abuse Center...(818) (323) Haven Hills...(818) Institute for Multicultural Counseling &...(866) / SOUTH CENTRAL LOS ANGELES Educational Services (IMCES) (866) Family Crisis Center...(213) Jewish Family Service of LA...(818) Jenesse Center...(800) San Fernando Valley Community Mental...(818) Legal Aid Foundation of LA...(213) Health Center, Inc. (SFVCMHC) Project: Peacemakers...(323) Valley Women s Center...(800) YWCA of Glendale...(818) SOUTH BAY SAN GABRIEL VALLEY AND EAST LOS ANGELES 1736 Family Crisis Center...(310) Bienvenidos Children s Center, Inc....(323) Center for Pacific Asian Family...(800) East L. A. Women s Center...(800) Office of Samoan Affairs...(310) Foothill Family Services...(866) House of Ruth...(909) Santa Anita Family Services...(626) LEGAL SERVICES Southern California Alcohol & Drug...(562) / 1736 Family Crisis Center...(213) / Program (SCADP)/Angel Step Inn...(323) (310) YWCA of San Gabriel Valley...(626) Antelope Valley DV Council (Valley Oasis)... (800) / (661) SOUTH EAST LOS ANGELES Asian Pacific American Legal...(213) Cambodian Association...(562) Community Legal Services...(800) Helpline Youth Counseling...(562) Harriet Buhai Center for Family Law...(213) Human Services Association...(562) Institute for Multicultural Counseling & (866) / Interval House...(562) Educational Services (IMCES)...(866) Legal Aid Foundation of LA...(213) Jenesse Center...(800) National Council on Alcoholism/Drug...(562) Legal Aid Foundation of LA...(213) Rainbow Services...(310) Los Angeles Center for Law & Justice...(323) South Asian Helpline & Referral Agency...(562) Neighborhood Legal Services LA County...(800) Su Casa Domestic Abuse Network...(562) Prototypes...(323) Women s & Children s Crisis Shelter...(562) Su Casa Domestic Abuse Network...(562) Women s Shelter of Long Beach...(562) YWCA of Glendale...(818) PA Rev. 09/15/08

26 What if I need help right away? If someone is hurting you, or if you are afraid and need help right away, call: Domestic Violence Hotline If you are in immediate danger, please call 911 How do I get CalWORKs domestic violence help? When you apply for cash aid, a worker will review the available domestic violence services with you. You may ask for help at any time while you are on or applying for cash aid; tell your Eligibility or GAIN Services Worker right away. We work with many agencies that can help you, even when you are no longer receiving cash aid because you used up your 60 months of CalWORKs. We are here to help you get on your feet and keep your family safe. Nothing should stand between you and success! Department of Public Social Services Crossroads Parkway South City of Industry, CA County of Los Angeles Board of Supervisors GLORIA MOLINA First District MARK RIDLEY-THOMAS Second District ZEV YAROSLAVSKY Third District DON KNABE Fourth District MICHAEL D. ANTONOVICH Fifth District This brochure is available in Armenian, Cambodian, Chinese, Korean, Russian, Spanish, Tagalog, and Vietnamese. Please call for a copy. CAL-3 Rev. 06/09 CalWORKs Specialized Supportive Services for Victims of Domestic Violence We Can Help You Have The Life You Want!

27 What is domestic violence? Domestic abuse is any action or threat against you by a spouse or ex-spouse, boyfriend or ex-boyfriend, intimate partner. How do I know if I ve been abused? If you can identify any of these actions in your life, you may be a victim of domestic violence. Physical Abuse: hitting, punching, shoving, throwing things, or using weapons. Sexual Abuse: forcing you to have sex against your will, or any sexual activity involving a child. Emotional or Mental Abuse: putting you down, name calling, controlling what you do, playing mind games, or threatening to take away your children. Isolation: not letting you see your family or friends; keeping you locked in the house. Economic Abuse: controlling all the money; keeping you from having or keeping a job; not giving you money to buy things you need. Stalking: harassing, terrorizing, and following you wherever you go; calling you all the time. How do I show abuse to get DPSS help? Your sworn statement is enough proof to show abuse. You do not have to have any police reports or other documents. Everything you tell us will be kept secret to the extent of the applicable law. We can help you! We know that it can be hard enough to work without having to worry about the abuse in your home or family. You may be worried that you will not be able to support yourself, if you leave your abuser. You are not alone. It is not your fault. DPSS can help. What kind of help is available? We have lots of help available to help you end the abuse in your life and the lives of your family. Some of these services include: Emergency housing and safety planning: help with leaving an abusive household, safety planning, free emergency shelter, clothing, food, and health referrals. Getting settled: help with transitional housing, children s activities, budgeting, transportation, financial planning, and setting and keeping schedules. Counseling: individual and group counseling for adults and children, and battered women s support groups. Parenting classes: child development education, discipline, and developing healthy parent-child relationships. Legal services: restraining orders, child and spousal support, custody, visitation, dependency court, property division, and immigration issues. What else should I know? If you are working or are in GAIN or REP, you may get extra money to help you pay for childcare, transportation, tools, uniforms, school books, and other supplies. The County can waive some CalWORKs program requirements for victims of domestic violence, such as: Stop the 60-month clock on cash aid: The 60-month time limit on cash aid can be stopped or turned back. Waive out of GAIN: You can request to waive the GAIN program requirements and still get domestic violence help. Stop child support collections: You can stop the County from going after the father of your child for child support, if it is dangerous for you or your child. Waive the Maximum Family Grant rule: If you are not getting cash for a child who was born after you started receiving cash aid, you can probably get your child s cash aid back. What if I am not a U.S. citizen or Legal Permanent Resident? If you are not a U.S. citizen or legal permanent resident and you or your child is or was a victim of domestic violence, you may be eligible to apply at the immigration office to improve your immigration status so that you can legally work or live in the United States. For more information, ask your Eligibility or GAIN Services Worker for a referral, or call any of the legal services offices for help and advice.

28 TOY LOAN PROGRAM FACT SHEET BACKGROUND In the summer of 1934, during the Great Depression, the manager of a dime store in southwest Los Angeles noticed two young boys wandering around his store, and discovered they were pocketing small toys and materials that could be used to construct toys. The boys were apprehended and referred to the Probation Department. Probation staff then spoke to the principal of the school they attended and found that the boys had good records, but their families could not afford many toys. Together, the store manager, school principal and Probation staff decided something must be done to prevent them from becoming delinquents. From this, the idea of gathering toys and loaning them to children was conceived. The first Toy Loan Center opened May 6, 1935 in a garage near Manchester Park. The basic ground rules were developed. Toys would be loaned on a weekly basis, and a record would be kept of every toy borrowed. The children would be graded on the care of their borrowed toy, receiving a satisfactory mark for returning their toy on time and in good condition. After 20 good marks, s/he would attain the status of Honor Borrower, which entitled the child to a gift from the Honor Cabinet. In addition, the Toy Loan Honor Code was established to teach honesty, responsibility, courtesy, and integrity. OVERVIEW Individuals, groups and toy manufacturers donate toys and books to the Toy Loan Program. Each Toy Loan Centers operates independently. The Toy Loan Centers are located in parks, recreation facilities, children s centers, housing projects and community service buildings. Each center adheres to the basic tenets of the Toy Loan Program. Currently, the Toy Loan Program supplies toys to over 50 centers throughout Los Angeles County and is a resource for teachers and educators who borrow toys, books, and games to enhance learning and stimulate communication. Over 35,000 children are served annually by the various services offered by the program. While the program depends on monetary, toy and book donations from the public and private sectors, the County does provide other key supports such as a headquarters facility and a delivery truck. Toys are sorted and sanitized at the headquarters, then distributed to the various Toy Loan Centers as well as Domestic Violence and Homeless Shelters. At any given time, there are approximately 45,000 toys in circulation. ONGOING OBJECTIVES Continue to develop community partners and increase exposure Generate monetary and new toy donations Increase awareness of the Toy Loan Program Enhance support to existing Toy Loan sites Expand the number of Toy Loan sites mbb 3/2011

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31 ACCESSING HEALTH AND HUMAN SERVICES PROGRAMS MOST COMMONLY REQUESTED DOCUMENTS CALIFORNIA CHILDREN S SERVICES (CCS) (800) CHILD HEALTH & DISABILITY PREVENTION PROGRAM (CHDP) (800) HEALTHY KIDS (888) 4LA-KIDS HEALTHY FAMILIES (888) MEDI-CAL (877) MEDICARE (800) MEDICARE CALWORKS (877) CASH ASSISTANCE PROGRAM FOR IMMIGRANTS (CAPI) (877) FOOD STAMPS (877) GENERAL RELIEF (877) IN-HOME SUPPORTIVE SERVICES (IHSS) (888) 944-IHSS WOMEN, INFANTS AND CHILDREN (888) WIC-BABY CHILD SUPPORT SERVICES (323) MENTAL HEALTH (800) HEALTH PROGRAM FEES/CO-PAYMENT INCOME SUPPORT OTHER SERVICES Required Documents Birth Certificate (for each applicant) Resident Alien Card (If not a US Citizen) or other residency documents Proof of California Residency: Driver s License, State ID Card or current letter mailed to you at your address Social Security Card Medicare Card or other health insurance card Marriage Certificate School Enrollment/Attendance Papers If pregnant or applying for unborn child, Proof of Pregnancy Proof of Income Child/Spousal Support: child support and/or spousal support award letter, copies of check received or statement from Child Support Services Department for last month Proof of Resources: all current bank statements, property statements, auto registrations, life and/or burial insurance policies, life estate agreement Proof of Expenses/Proof of Deductions: work clothing and transportation costs, current taxes, medical insurance, etc. PROOF OF INCOME & EXPENSES: If you have any of the documents listed in the two sections below bring them with you. INCOME If employed: copy of most recent pay stub with name of employer and person who worked OR Signed statement from employer with gross monthly income stated and dates received If self-employed: copy of last year s federal income tax return (with Schedule C) or last 3 months profit and loss statements If disabled or retired: copies of award letters or bank statements showing direct deposits If currently receiving benefits: proof of the amount (i.e. unemployment insurance, Social Security, workers compensation, veteran income checks or disability insurance) If income from a loan: copy of loan papers with the name of person who is receiving the loan, the amount and current balance EXPENSES For care of a child or disabled adult: receipts, bill or cancelled checks that show name of the person cared for, cost of care, and the name of the person who paid for the care For housing and utility costs: receipts or bills that show user s name and amount due For medical costs for the disabled or persons age 60 or older: bills, receipts, medical insurance premiums, or cancelled checks that show the name of the person who incurred the expense, cost and name of person who paid for the care For court ordered support payments: receipts, cancelled checks or money orders that show who the payment was for and the amount paid For self employed: signed receipts, cancelled checks or statements from whom you get your supplies This form is available at rev. 5/10

32 WHERE TO ACCESS THE MOST COMMONLY REQUESTED DOCUMENTS DOCUMENT DEPARTMENT PHONE NO. & WEBSITE Birth, Death, and Marriage Certificates Resident Alien Cards or other Residency Documents Proof of California Residency: Driver s License, State ID Registrar Recorder/County Clerk Department Headquarters Imperial Highway Norwalk, CA U.S. Citizenship and Immigration Services California Department of Motor Vehicles (DMV) Social Security Card Social Security Administration (SSA) Copies of Income Tax Return Internal Revenue Service (IRS) Child Support Documents Child Support Services Department or (323) in LA County KEY COUNTY OF LOS ANGELES HEALTH & HUMAN SERVICES PROGRAMS CALIFORNIA CHILDREN S SERVICES (CCS) (800) IN-HOME SUPPORTIVE SERVICES (888) 944-IHSS ( ) CHILD HEALTH & DISABILITY PREVENTION PROGRAM (CHDP) (800) LONG BEACH: (562) PASADENA: (626) HEALTHY KIDS (888) 4LA-KIDS ( ) HEALTHY FAMILIES (888) MEDI-CAL (877) WOMEN, INFANTS AND CHILDREN (888) (888) CHILD SUPPORT SERVICES (800) OR (323) MENTAL HEALTH (800) OTHER NUMBERS OF INTEREST 211 LA COUNTY MEDICARE (800) MEDICARE ( ) ACCESS FOR INFANTS AND MOTHERS (800) CALWORKS (877) CASH ASSISTANCE PROGRAM FOR IMMIGRANTS (CAPI) (877) FOOD STAMPS (877) GENERAL RELIEF (877) COUNTY OF LOS ANGELES JOB HOTLINE (800) LOW INCOME HOUSING INFORMATION (800) 731-HOME ( ) LACOUNTYHELPS! SUPPLEMENTAL SECURITY INCOME (800)

33 CalWORKs The CalWORKs is a time-limited cash aid program for children and families designed to provide temporary assistance for basic needs (shelter, food, and clothing). The program establishes work requirements and provides a broad spectrum of Welfare-to-Work (WtW) services that help remove barriers to employment and help families become economically self-sufficient. Contents CalWORKs Fact Sheet Applying for CalWORKs Homeless Program for Families with Eligible Children Rights, Responsibilities and Other Important Information Sample Application for Cash Aid, CalFresh and Medi-Cal Statement of Fact for Cash Aid, CalFresh and Medi-Cal Additional information may be accessed through the websites listed below: Department s main website listing all departmental information, including program-specific information, office locations and the community event s calendar. Informs citizens of Los Angeles County of state and federal benefits assistance. This website provides additional information about programs available after completing a short online survey. Provides information about human social services in the Los Angeles County.

34 County of Los Angeles Department of Public Social Services Philip L. Browning, Director CALIFORNIA WORK OPPORTUNITY AND RESPONSIBILITY TO KIDS (CalWORKs) PROGRAM Fact Sheet Requirements Deprivation must exist (unemployment, deceased, disabled or absent). At application, the principle wage earner must not be employed more than 100 hours a month. Once the case is approved, the principle wage earner may be employed over 100 hours per month as long as there is financial eligibility. Children must live with a parent or relative caretaker. Children must be under 18 years of age or 18 years of age enrolled as a full-time student in high school or a vocational/technical training program and: Expected to graduate/complete the training program before reaching age 19; or Not expected to graduate/complete the training before age 19 due to a disability. Intend to reside in California. Must be a U.S. Citizen, naturalized or lawful permanent immigrant. Provide a Social Security Number (SSN). Income Limits Gross income may include income from earnings, disability benefits, child/spousal support payments, veterans, etc. For Intake, the gross income (for earnings, deduct $90 from the gross income) must be under Minimum Basic Standard of Adequate Care (MBSAC) for the family. If income is below MBSAC, apply the $225/50% disregards to income from earnings or $225 disregard for specific disability-based income. The remainder must be under the Maximum Aid Payment (MAP) for the family. For approved cases, the gross income (apply $225 plus 50% disregards to income from earnings or $225 disregard for specific disability-based income) must be under MAP for the family. Property/Resource Limits $2,000 (cash on hand, savings, stocks, etc.). $3,000 if someone in the Assistance Unit (AU) is 60 years or older. Exempt Property/Resources may include: The home the applicant/participant resides in. Personal/household items (furniture, appliances, etc.) Tools used for trade/profession. Participants may hold special restricted savings accounts to be used for education/training, business or to purchase a home. For the first car, deduct $4,650 from the Fair Market Value (FMV), the remainder is counted towards the property limit.

35 Other Requirements -2- Child Support cooperation. Immunizations for all children under the age of 6 who are not enrolled in school. Provide proof of regular school attendance for all school-age children. Work and training is required for most parents. Quarterly Eligibility/Status Reporting. Participants who self-identify as either a fleeing/drug felon are ineligible for CalWORKs. Maximum Family Grant (MFG) requires that cash benefits will not increase even if additional children are born. There are exceptions to this rule, but in general, the MFG rule is invoked when a child is born into an AU that has received CalWORKs for at least 10 months immediately prior to the child s birth. The MFG child is eligible to receive Food Stamps and Medi-Cal benefits. Time Limits Most adults can only receive 60 months of cash aid. Exemptions may be applied to 20% of the CalWORKs population and to participants receiving domestic violence services. The months do not need to be consecutive. Includes months in which aid was received from other states (after 1/1/98). Aid received prior to January 1, 1998, is not counted. MAP Levels Exempt MAP (higher) is limited to families where each adult relative caretaker in the Assistance Unit (AU) receives or meets one of the following conditions: SSI/SSP benefits; IHSS benefits; SDI, Temporary Workers Compensation (TWC), Temporary Disability (TDI) benefits; or Is a non-needy, non-parent caretaker relative who is not included in the AU. Additional Benefits For Intake, a pregnant woman with no other children must be in her last trimester before she is eligible for assistance. An applicant with other eligible children may receive the pregnancy allowance from the date of application through the month of birth. For Approved, the participant may receive the pregnancy allowance from the first of the month in which medical verification is received through the month of birth. The first $50 from a child support payment is disregarded. A special need allowance may be allowed for diets, transportation, etc. A special non-recurring allowance may be given to replace clothing, household equipment if the loss was due to a sudden and unusual circumstance (fire, flood, earthquake, etc.). There are a variety of homeless assistance programs available. A Diversion payment may be available for applicants who need help to meet a one-time-only expense that prevents current employment or who is likely to find employment in a short period of time. CW Division Rev. 01/09 For detailed information, visit the DPSS website at

36 Attachment I Applying for CalWORKs? CalWORKs provides temporary financial aid and employment-focused services to families with children. Families must meet basic eligibility rules to qualify for CalWORKs. For families with income and property, the amounts must be below the State limits. For example, if your car is worth more than $4,650, the amount over $4,650 will count towards the property limit. Your family size decides the aid amount. For example, the monthly CalWORKs aid for two people without income is $561. Basic Eligibility Rules: Income Limits: Based on your family size, your total gross income is at or below the income limit listed in the chart below. (Note: If you are a relative caring for a child who is not your own, your income does not count if you want aid for the child only.) Family Size Income Limits Monthly Gross Income Limit (add $90 for each employed person) Family Size Monthly Gross Income Limit (add $90 for each employed person) 1 $540 6 $1,670 2 $885 7 $1,835 3 $1,097 8 $1,999 4 $1,302 9 $2,168 5 $1, $2,353 * Add $20 for each extra person Resource/Property Limits: Your family s total resources/property (i.e., bank accounts, cash on hand, savings bonds, other real property) is $2,000 or less ($3,000 if the parent/caretaker is age 60 or older). Some resources that do not count include: A home, if family lives in it Personal and household items Motor vehicle valued at $4,650 or less may be excluded Other Eligibility Rules: Your household must include a pregnant woman or a child where at least one member is either a U.S. citizen or a legal immigrant. If both parents are in the home, one parent must either be disabled or have worked less than 100 hours in the four weeks before applying for aid. Other eligibility rules apply. Even if your family is not eligible to CalWORKs, your family may apply and still be eligible to receive Food Stamps and/or Medi-Cal. You may apply for Food Stamps and/or Medi-Cal in-person or by mail. Please see the District Customer Service Representative for an application and/or more information. Please visit our website at for more information on County services and programs. CalWORKs INFORMATION SHEET 02/10

37 DEPARTMENT OF PUBLIC SOCIAL SERVICES HOMELESS PROGRAMS FOR FAMILIES Temporary Homeless Assistance (HA) A homeless CalWORKs family can receive from $65 up to $125 per night (depending on the Assistance Unit s size) for temporary shelter in a hotel/motel or commercial establishment for up to 16 consecutive days (receipts are required to verify the hotel/motel expense). Payments are issued in increments of no more than seven days at a time. Permanent Homeless Assistance (HA) A homeless CalWORKs family can receive help with move-in costs, such as last month s rent, deposits, utility deposits, and cleaning fees, provided the family s rent costs do not exceed 80% of the total monthly household income. HA Permanent Arrearage Payment CalWORKs families who have received an eviction notice or notice to pay or quit due to non-payment of rent because of a financial hardship, not a lease/contract violation, may qualify to pay for up to two months in rent arrearages to prevent eviction. The family s monthly rent costs cannot exceed 80% of the total monthly household income. Proof of financial hardship is required. Moving Assistance (MA) for CalWORKs Families CalWORKs families who are experiencing a financial crisis, including homelessness or at-risk of homelessness (already received eviction notice or 3-day notice to pay or quit) may receive funds to secure permanent housing. If the family is homeless, they must have exhausted all other means of assistance including HA. If the family is not homeless, they must demonstrate that they are experiencing a financial hardship that could result in homelessness. Proof of financial hardship is required. MA provides funds for the last month s rent, security deposits, utility turn-on fees, and moving expenses (e.g., truck rental). The program also provides up to $405 for a stove and/or refrigerator. A family may receive up to $2,000 in MA and MA can be used in conjunction with permanent HA to purchase a stove/refrigerator or for truck rental only. NOTE: Effective October 1, 2010, this program is available only to families meeting their Welfareto-Work requirements (participating in the GAIN Program). Emergency Assistance to Prevent Eviction (EAPE) - Helps CalWORKs families who are at risk of losing their housing because of non-payment of rent due to a financial hardship (not for any other lease/contract violations) to prevent eviction and remain in permanent housing. EAPE provides up to $2,000 to help pay rent and/or utilities for up to two months in arrears to assist the family in maintaining permanent housing. This program can be used as needed until the $2,000 limit has been exhausted. NOTE: Effective October 1, 2010, this program is available only to families meeting their Welfareto-Work requirements (participating in the GAIN Program). Housing Relocation Program - Provides a one-time-only relocation subsidy of up to $1,500 to eligible CalWORKs participants working 20 hours or more per week or with a documented offer of employment for 20 hours or more per week. In addition, the family may receive up to $405 to purchase a stove/refrigerator if needed for the new place. 4-Month Rental Assistance (RA) Program for CalWORKs Families Assists homeless CalWORKs Welfareto-Work families to remain in non-subsidized permanent housing by providing a short-term rental subsidy. Families receiving HA Permanent Housing and/or MA may qualify for a rental subsidy of up to $300 per family (based on the family size) for up to four consecutive months. NOTE: All of the above homeless programs are once-in-a-lifetime. Some programs may be accessed again when certain exceptions are met (domestic violence, mental or physical illness, prior residence becoming uninhabitable, or natural disaster).