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class="bSep"> </span><span itemprop="itemListElement" itemscope itemtype="http://schema.org/ListItem"><a href="http://cdss.ca.gov/inforesources/forms-brochures/notices-of-action" class="Breadcrumb" itemprop="item"><span itemprop="name">Notices of Action</span></a><meta itemprop="position" content="2" /></span></span></span></div> <div id="dnn_ContentPane" class="ContentPane NoPaneBorder"><div class="DnnModule DnnModule-DNN_HTML DnnModule-10944 DnnVersionableControl"><a name="10944"></a><div id="dnn_ctr10944_ContentPane" class="NoTitlePaddingContentPane"><div id="dnn_ctr10944_ModuleContent" class="DNNModuleContent ModDNNHTMLC"> <div id="dnn_ctr10944_HtmlModule_lblContent"><h1>Notice of Action Documents</h1> <p><strong>Note:</strong> <strong>These Notices of Action documents, primarily for the use of the counties, are in <em>Word format only</em>.</strong></p> <ul> <li><a href="/cdssweb/res/word/noadocs/m16-105.doc">M16-105 (8/08) - EBT Expedited Availability</a></li> <li><a href="/cdssweb/res/word/noadocs/m16-120a.doc">M16-120A (6/11) - EBT Dormant Account</a></li> <li><a href="/cdssweb/res/word/noadocs/m16-120b.doc">M16-120B (6/11) - EBT Dormant Account: Suspend</a></li> <li><a href="/cdssweb/res/word/noadocs/m16-120c.doc">M16-120C (8/08) - EBT Dormant Account: Reactivate</a></li> <li><a href="/cdssweb/res/word/noadocs/m16-215.doc">M16-215 (8/08) - EBT Availability</a></li> <li><a href="/cdssweb/res/word/noadocs/m16-325a.doc">M16-325A (7/02) - EBT Exemption Request</a></li> <li><a href="/cdssweb/res/word/noadocs/m16-325b.doc">M16-325B (8/08) - EBT Exemption: Need Additional Facts</a></li> <li><a href="/cdssweb/res/word/noadocs/m16-325c.doc">M16-325C (8/08) - EBT Exemption: Deny</a></li> <li><a href="/cdssweb/res/word/noadocs/m16-325d.doc">M16-325D (8/08) - EBT Exemption Ended</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/M16-325E.docx">M16-325E (8/08) - Direct Deposit Cancellation</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/M16-505A.docx">M16-505A (7/02) - Designated Alternate Cardholder</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/M16-505B.docx">M16-505B (8/08) - Designated Alternate Cardholder Request: Need Additional Facts</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/M16-505D.docx">M16-505D (8/08) - Designated Alternate Cardholder: Deny</a> </li> <li><a href="/cdssweb/res/word/noadocs/m16-701.doc">M16-701 (8/08) - EBT Adjustment Advice</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M16-705.docx?ver=2023-06-06-071910-407">M16-705 (6/23) - EBT Adjustment Denial </a></li> <li><a href="/cdssweb/res/word/noadocs/20003.doc">M20-003 (7/01) - Duplicate Aid Match, Discontinue</a></li> <li><a href="/cdssweb/res/word/noadocs/20003a.doc">M20-003A (7/01) - Duplicate Aid Match, Deny</a></li> <li><a href="/cdssweb/res/word/noadocs/20353c.doc">M20-353C (6/98) - Penalty Applied to AU, Fraud Penalty, Change</a></li> <li><a href="/cdssweb/res/word/noadocs/20353d.doc">M20-353D (6/98) - Penalty Applied to AU, Fraud Penalty, Approval</a></li> <li><a href="/cdssweb/res/word/noadocs/20353e.doc">M20-353E (6/98) - Penalty Applied to AU, Fraud Penalty, Other</a></li> <li><a href="/cdssweb/res/word/noadocs/20353f.doc">M20-353F (6/98) - Penalty Stops, Fraud Penalty, Change</a></li> <li><a href="/cdssweb/res/word/noadocs/40105.doc">M40-105 (11/14) - Failed to Provide SSN When Received or Failure to Cooperate</a></li> <li><a href="/cdssweb/res/word/noadocs/40105a.doc">M40-105A (11/14) - Failed to provide SSN or proof of completed SSN Application</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/40105b.doc">M40-105B (7/98) - Immunizations, Required Documentation, Change</a></li> <li><a href="/cdssweb/res/word/noadocs/40105c.doc">M40-105C (11/14) - Notice Of Action - Immunizations</a></li> <li><a href="/cdssweb/res/word/NoaDocs/40105d.doc">M40-105D (7/98) - School Attendance, Required Documentation</a></li> <li><a href="/cdssweb/res/word/noadocs/40105d1.doc">M40-105D1 (1/15) - Notice Of Action - School Attendance</a></li> <li><a href="/cdssweb/res/word/noadocs/40105e.doc">M40-105E (2/15) - Notice Of Action - School Attendance </a></li> <li><a href="/cdssweb/res/word/noadocs/40105f.doc">M40-105F (1/02) - Non-Cooperation of Added AU Member</a></li> <li><a href="/cdssweb/res/word/noadocs/40105g.doc">M40-105G (1/02) - Failure to Cooperate, Discontinue</a></li> <li><a href="/cdssweb/res/word/noadocs/40105h.doc">M40-105H (1/02) - Refusal to Cooperate, Discontinue</a></li> <li><a href="/cdssweb/res/word/noadocs/40105i.doc">M40-105I (3/00) - Failure to Cooperate, Deny</a></li> <li><a href="/cdssweb/res/word/noadocs/40105j.doc">M40-105J (3/00) - Refusal to Cooperate, Deny</a></li> <li><a href="/cdssweb/res/word/noadocs/40107adden1.doc">M40-107 (6/11) - Addendum 1 - Child Support Collection For CalWORKs 48-Month Time Limit Exemption</a> - Use Until April 30, 2022</li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M40-107ad1.docx?ver=2021-05-04-142641-957">M40-107 (4/21) - Addendum 1 - Child Support Collection For CalWORKs 60-Month Time Limit Exemption</a> - Use Starting May 1, 2022</li> <li><a href="/cdssweb/res/word/noadocs/40107adden2.doc">M40-107 (6/11) - Addendum 2 - Child Support Collection For CalWORKs 48-Month Time Limit Exemption</a> - Use Until April 30, 2022</li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M40-107ad2.docx?ver=2021-05-04-142856-123">M40-107 (4/21) - Addendum 2 - Child Support Collection For CalWORKs 60-Month Time Limit Exemption</a> - Use Starting May 1, 2022</li> <li><a href="/cdssweb/res/word/noadocs/40107a.doc">M40-107A (11/02) - Time On Aid (no previous NOa issued), Other</a> - Use Until April 30, 2022</li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M40-107a.docx?ver=2021-05-04-143230-580">M40-107A (4/21) - Time On Aid (no previous NOa issued), Other</a> - Use Starting May 1, 2022</li> <li><a href="/cdssweb/res/word/noadocs/40107b.doc">M40-107B (6/11) - Time On Aid at Redetermination</a> - Use Until April 30, 2022</li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M40-107b.docx?ver=2021-05-04-143740-070">M40-107B (4/21) - Time On Aid at Redetermination</a> - Use Starting May 1, 2022</li> <li><a href="/Portals/9/FMUForms/Notice%20Of%20Action/M40-107C.doc">M40-107C (10/19) - Time On Aid Between 42th and 46th Month</a></li> <li><a href="/Portals/9/FMUForms/Notice%20Of%20Action/M40-107C1.doc">M40-107C1 (9/20) - Time on Aid Between 54th and 57th Month</a> - Use Starting May 1, 2022</li> <li><a href="/Portals/9/FMUForms/Notice%20Of%20Action/M40-107D.doc">M40-107D (10/19) - Time On Aid To Former CalWORKs Recipients</a> - Use Until April 30, 2022 </li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M40-107d.docx?ver=2021-05-04-144035-763">M40-107D (4/21) - Time On Aid To Former CalWORKs Recipients</a> - Use Starting May 1, 2022</li> <li><a href="/Portals/9/FMUForms/Notice%20Of%20Action/m40_107e.pdf">M40-107E (4/04) - 60th Month On Aid, Change</a></li> <li><a href="/cdssweb/res/word/noadocs/40107f.doc">M40-107F (6/11) - Extended Beyond 48 Months of Aid</a> - Use Until April 30, 2022</li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M40-107f.docx?ver=2021-05-04-144428-030">M40-107F (4/21) - Extended Beyond 60 Months of Aid</a> - Use Starting May 1, 2022</li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/M40-107f1.docx">M40-107F1 (6/11) - Extender Met After 48th Month</a> - Use Until April 30, 2022</li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M40-107f1.docx?ver=2021-05-04-150514-507">M40-107F1 (4/21) - Extender Met After 60th Month</a> - Use Starting May 1, 2022</li> <li><a href="/cdssweb/res/word/noadocs/M40-107f2.docx">M40-107F2 (6/11) - Extender Ended</a> - Use Until April 30, 2022</li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M40-107f2.docx?ver=2021-05-04-150829-620">M40-107F2 (4/21) - Extender Ended</a> - Use Starting May 1, 2022</li> <li><a href="/Portals/9/FMUForms/Notice%20Of%20Action/M40-107G.doc?ver=2018-06-20-113821-187">M40-107G (6/18) - 48th Month On Aid, Discontinue</a> - Use Until April 30, 2022</li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M40-107g.docx?ver=2022-02-02-162211-097">M40-107G (1/22) - 60th Month On Aid, Discontinue - Use Starting May 1, 2022</a></li> <li><a href="/cdssweb/res/word/noadocs/40107h.doc">M40-107H (11/02) - 60th Month On Aid - MFG child only, Change</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M40-107I.docx?ver=2022-07-22-094755-117">M40-107I (7/22) - 60th Month On Aid, No eligible child, Discontinue</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/M40-107j.docx">M40-107J (11/02) - Timed-Out Adult, Partial Approval</a> - Use Until April 30, 2022</li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M40-107j.docx?ver=2021-05-04-164739-290">M40-107J (4/21) - Timed-Out Adult, Partial Approval</a> - Use Starting May 1, 2022</li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/M40107j1.docx">M40-107J1 (6/11) - Approval After 48 Months on Aid</a> - Use Until April 30, 2022</li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M40-107j1.docx?ver=2021-05-04-165004-227">M40-107J1 (4/21) - Approval After 60 Months on Aid</a> - Use Starting May 1, 2022</li> <li><a href="/cdssweb/res/word/noadocs/m40107k.doc">M40-107K (6/11) - Increase Grant due to TOA Adjustment</a> - Use Until April 30, 2022</li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M70_107k.docx?ver=2021-05-04-165157-877">M40-107K (4/21) - Increase Grant due to TOA Adjustment</a> - Use Starting May 1, 2022</li> <li><a href="/cdssweb/res/word/noadocs/40118a.doc">M40-118A (8/96) - Incomplete Statement of Facts Form for Mandatory AU Members, Deny</a></li> <li><a href="/cdssweb/res/word/noadocs/40118d.doc">M40-118D (1/02) - Mandatory Filing Unit Members on Statement of Facts, Discontinue</a></li> <li><a href="/cdssweb/res/word/NoaDocs/40125a.doc">M40-125A (9/00) - Restore After a CW7/CW7Q Discontinuance, Approve</a></li> <li><a href="/cdssweb/res/word/noadocs/m40-125b_sar.doc">M40-125B SAR (4/16) - Restore After a SAR7 Discontinuance</a></li> <li><a href="/cdssweb/res/word/noadocs/m40-125c_sar.doc">M40-125C SAR (4/16) - Incomplete Semi-Annual Report (SAR7) Denial of Restoration</a></li> <li><a href="/cdssweb/res/word/noadocs/40129b.doc">M40-129B (11/09) - Full Payment - Approve</a></li> <li><a href="/cdssweb/res/word/noadocs/40129b1.doc">M40-129B1 (12/90) - Approval after Immediate Need Payment, Approve</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/40129c.doc">M40-129C (12/90) - Miscellaneous, Deny</a></li> <li><a href="/cdssweb/res/word/noadocs/40129c1.doc">M40-129C1 (12/90) - Received Aid Payment, Deny</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/40129d1.doc">M40-129D1 (11/14) - Procedural Requirements, Deny</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/40129d2.doc">M40-129D2 (12/90) - Procedural Requirements, Deny</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/40129d3.doc">M40-129D3 (12/90) - Procedural Requirements, Deny</a></li> <li><a href="/cdssweb/res/word/NoaDocs/40129d4.doc">M40-129D4 (9/00) - Procedural Requirements, Deny</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/40129d5.doc">M40-129D5 (11/14) - Failed to Provide Proof of SSN Application, Deny</a> </li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M40-129e1.doc?ver=2022-04-08-085829-273">M40-129E1 (12/90) - No Emergency, Deny</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/40129e2.doc">M40-129E2 (12/90) - No Emergency, Deny</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/40129e4.doc">M40-129E4 (12/90) - No Emergency, Deny</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/40129e5.doc">M40-129E5 (12/90) - No Emergency, Deny</a></li> <li><a href="/cdssweb/res/word/NoaDocs/40129e6.doc">M40-129E6 (12/90) - No Emergency, Deny</a></li> <li><a href="/cdssweb/res/word/noadocs/40157a1.doc">M40-157A1 (5/91) - Incomplete Citizen/Alien Documentation, Approve</a></li> <li><a href="/cdssweb/res/word/noadocs/40157a4.doc">M40-157A4 (1/02) - Incomplete Citizenship/Noncitizenship Documentation, Discontinue</a></li> <li><a href="/cdssweb/res/word/noadocs/40171a.doc">M40-171A (11/14) - Failure to Cooperate, Deny</a></li> <li><a href="/cdssweb/res/word/noadocs/40171b.doc">M40-171B (5/91) - Refusal to Cooperate, Deny</a></li> <li><a href="/cdssweb/res/word/noadocs/40171c.doc">M40-171C (6/98) - Basic Approval</a></li> <li><a href="/Portals/9/FMUForms/Notice%20Of%20Action/M40-171D.doc?ver=2018-08-02-133727-060">M40-171D (6/18) - Basic Approval</a></li> <li><a href="/cdssweb/res/word/noadocs/m40-171d_sar.doc">M40-171D SAR (5/16) - Late SAR7/Restoration</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/40171m.doc">M40-171M (7/87) - Not a California Resident, Deny</a></li> <li><a href="/cdssweb/res/word/noadocs/m40-181.doc">M40-181 (9/13) - SAWS 2 Redetermination Of Eligibility</a></li> <li><a href="/cdssweb/res/word/noadocs/40181a.doc">M40-181A (11/14) - SAWS 2 Redetermination/Other Essential Information</a></li> <li><a href="/cdssweb/res/word/noadocs/40181c.doc">M40-181C (4/87) - Balderas Reminder Notice</a></li> <li><a href="/cdssweb/res/word/noadocs/m40-181c_%20sar.doc">M40-181C SAR (9/13) - Notice Of Action - Balderas Reminder Notice</a></li> <li><a href="/cdssweb/res/word/noadocs/40181d.doc">M40-181D (5/91) - No Completed Monthly Report at Restoration, Deny</a></li> <li><a href="/cdssweb/res/word/noadocs/m40-181e.doc">M40-181E (11/14) - SAWS 2 PLUS Redetermination Immunizations/School Attendance, Change</a> </li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M40-181F.docx?ver=2022-07-12-130243-273">M40-181F (7/22) - No Change at Redetermination</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M40-181G.docx?ver=2023-12-11-120432-810">M40-181G (10/23) - Redetermination Reminder Notice</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M40-195A - Sending.docx?ver=2022-08-11-105711-700">M40-195A (8/22) - ICT Notice Of Transfer, Sending</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M40-195B.docx?ver=2022-08-22-132544-923">M40-195B (8/22) - ICT Notice Of Transfer, Receiving</a></li> <li><a href="/cdssweb/res/word/noadocs/41401a.doc">M41-401A (12/86) - No Deprivation, Deny</a></li> <li><a href="/cdssweb/res/word/noadocs/41440f.doc">M41-440F (6/98) - 100 Hour Work Rule, Deny</a></li> <li><a href="/cdssweb/res/word/noadocs/m41-440g.docx">M41-440G (5/20) - 100 Hour Work Rule </a></li> <li><a href="/cdssweb/res/word/noadocs/41450a.doc">M41-450A (1/98) - Absent Parent in Uniformed Services, Deny</a></li> <li><a href="/cdssweb/res/word/noadocs/m42-101b.doc">M42-101B (11/14) - Age and School Requirements</a></li> <li><a href="/cdssweb/res/word/noadocs/m42-101c.doc">M42-101C (11/14) - Age and School Requirements, Discontinue</a></li> <li><a href="/cdssweb/res/word/noadocs/42207a.doc">M42-207A (10/15) - Over Property Limit, Deny</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/42213f.docx">M42-213F (1/02) - Property Not Sold, Discontinue</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/42221j.doc">M42-221J (1/02) - Transfer w/out Fair Consideration, Discontinue</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/42221k.doc">M42-221K (7/98) - Transfer w/out Fair Consideration, Suspend</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/42221l.doc">M42-221L (4/00) - Transfer w/out Fair Consideration, Suspend </a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/42221m.doc">M42-221M (1/02) - Transfer w/out Fair Consideration, Discontinue</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/42431a4.docx">M42-431A4 (11/14) - No Eligible Noncitizen Status/Proof of Eligible Noncitizen Status, Discontinue</a> </li> <li><a href="/cdssweb/res/word/noadocs/42769a.doc">M42-769A (11/14) - Apply $100 Cal-Learn Penalty</a></li> <li><a href="/cdssweb/res/word/noadocs/42769c.doc">M42-769C (9/94) - Stop Cal-Learn Penalty</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/43107c.doc">M43-107C (1/98) - Cooperate, Change</a></li> <li><a href="/cdssweb/res/word/noadocs/43119c.docx">M43-119C (1/02) - Needs Met, Discontinue</a></li> <li><a href="/cdssweb/res/word/noadocs/43119e.docx">M43-119E (1/98) - Some Members Needs Met, Change</a></li> <li><a href="/cdssweb/res/word/noadocs/43119g.doc">M43-119G (11/14) - Missing SAR 72, Change</a></li> <li><a href="/cdssweb/res/word/noadocs/43119h.doc">M43-119H (11/14) - Missing SAR 72, Discontinue</a></li> <li><a href="/cdssweb/res/word/noadocs/43119i.docx">M43-119I (7/98) - Deemed Sponsor's Property and Family Property, Change</a></li> <li><a href="/cdssweb/res/word/noadocs/43119j.docx">M43-119J (7/98) - Deemed Sponsor's Property, Change</a></li> <li><a href="/cdssweb/res/word/noadocs/43119k.docx">M43-119K (7/98) - Deemed Sponsor's Property and Family Property, Deny</a></li> <li><a href="/cdssweb/res/word/noadocs/43119l.docx">M43-119L (7/98) - Deemed Sponsor's Property, Deny</a></li> <li><a href="/cdssweb/res/word/noadocs/43119m.docx">M43-119M (1/98) - Deemed Sponsor's Income, Change</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/43119o.docx">M43-119O (1/02) - Deemed Sponsor's Property and Family Property, Discontinue</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/43119p.docx">M43-119P (1/02) - Deemed Sponsor's Property, Discontinue</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/44113a.docx">M44-113A (6/98) - Disallowance of Deductions, Change</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/44113G1.docx">M44-113G1 (6/98) - Change in Income</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/M44-113H.docx">M44-113H (11/12) - Change In Income</a></li> <li><a href="https://www.cdss.ca.gov/getinfo/FEED_Document_Notification.pdf">M44-129E1 (12/90) - No Emergency, Deny</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/44133d.docx">M44-133D (6/98) - 18 Year Old, End of Deeming, Change</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/44133q.docx">M44-133Q (6/98) - Minor Parent Income, Change</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/44133s.docx">M44-133S (6/98) - Minor Parent, Financial Eligibility, Change</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/M-P/M44-133S.docx">M44-133S (5/20) - Minor Parent, Financial Eligibility, Change</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/M-P/44133t_.docx">M44-133T (9/20) - Minor Parent, Financial Eligibility, Partial Approval</a></li>  <li><a href="/cdssweb/res/word/noadocs/m44-207i_sar.doc">M44-207I SAR (4/16) - Financial Eligibility</a></li> <li><a href="/cdssweb/res/word/noadocs/44207j.doc">M44-207J (6/98) - Financial Eligibility, Deny</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2019/M-P/M44-207K.docx">M44-207K (1/02) - Financial Eligibility, Discontinue</a> - Use Until May 31, 2020</li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/M-P/202005-M44-207K.docx">M44-207K (5/20) – Financial Eligibility, Discontinue</a> – Use Starting June 1, 2020</li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/M-P/M44-207k1.docx">M44-207K1 (5/20) - Minor Parent, Financial Eligibility</a></li>  <li><a href="/cdssweb/res/word/noadocs/44207l.doc">M44-207L (6/98) - Financial Eligibility Test, Suspend</a></li> <li><a href="/Portals/9/FMUForms/Notice Of Action/M44-207M.docx">M44-207M (8/20) - Financial Eligibility, Deny</a></li> <li><a href="/Portals/9/FMUForms/Notice%20Of%20Action/M44-211A.doc">M44-211A (12/19) - Temporary Shelter and Permanent Housing, Approve</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M44-211B.docx?ver=2021-10-19-081756-420">M44-211B (10/21) - Expanded Temporary HA For Applicants Fleeing DV, Approve</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M44-211D.docx?ver=2023-09-29-081718-570">M44-211D (9/23) - Temporary Shelter And/Or Permanent Housing</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M44-211L.docx?ver=2023-10-10-110953-977">M44-211L (9/23) - Pregnancy Special Needs, Approve</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M44-211N.docx?ver=2023-10-10-090638-893">M44-211N (9/23) - Pregnancy Special Needs, Change<strong> </strong></a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M44-211O.docx?ver=2023-10-10-090858-243">M44-211O (9/23) - Discontinue Pregnancy Special Needs Payment for Pregnant Person Only Assistance Unit</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/44305.docx">M44-305 (9/97) - Change of Payee, Other</a></li> <li><a href="/cdssweb/res/word/noadocs/44307a.doc">M44-307A (11/15) - Voucher/Vendor Payment, Other</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/44307b.docx">M44-307B (1/99) - Voucher/Vendor Payment, Change</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/44307c.docx">M44-307C (7/98) - Voucher/Vendor Payment, Change</a> </li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M44-315A.docx?ver=2021-06-24-150450-180">M44-315A (5/20) - $10 Minimum Payment, Change</a> - Use Until April 30, 2022</li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M44-315A_8-21.docx?ver=2021-11-16-133745-457">M44-315A (8/21) - $10 Minimum Payment, Change</a> - Use Starting May 1, 2022</li> <li><a href="/cdssweb/res/word/noadocs/44315b.doc">M44-315B (9/98) - ICT between Reg-1 and Reg-2 MAP Increase/Decrease, Change</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M44-315C.docx?ver=2024-10-22-092439-040">M44-315C (4/09) - Notice of Action - Four Percent Grant Reduction</a></li>  <li><a href="/cdssweb/res/word/noadocs/m44-316a.doc">M44-316A (5/20) - Notice Of Action - Not Yet Changed</a> </li> <li><a href="/cdssweb/res/word/noadocs/m44-316b.doc">M44-316B (9/13) - Notice Of Action - Change In Income Over IRT</a> </li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M44-316C.docx?ver=2022-08-02-082647-417">M44-316C (8/22) - Notice Of Action - No Change/Mid-Period Report Of Property</a></li> <li><a href="/Portals/9/FMUForms/Notice%20Of%20Action/M44-316SAR.doc?ver=2019-05-20-111838-350">M44-316 SAR (9/13) - No Change/Mid-Period Reporting</a></li> <li><a href="/Portals/9/FMUForms/Notice%20Of%20Action/M44-316CSAR.doc?ver=2017-10-26-162507-353">M44-316C SAR (10/17) - No Change/Mid-Period Report of Property</a></li> <li><a href="/cdssweb/res/word/noadocs/m44-316d_sar.doc">M44-316D SAR (9/13) - Notice Of Action - Change In Income</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/M44-316E.docx">M44-316E (10/16) - Mid-Period Change Due To The Death Of A Child</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M44-340.docx?ver=2023-02-24-110804-120">M44-340 (2/23) - Underpayment Adjustment, Approval</a></li> <li><a href="/cdssweb/res/word/noadocs/44340b.doc">M44-340B (9/07) - Underpayment Adjustment</a> </li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/M44_340C.docx">M44-340C (8/12) - Underpayment Adjustment</a></li> <li><a href="/cdssweb/res/word/noadocs/44350a.doc">M44-350A (11/11) - Overpayment Adjustment</a></li> <li><a href="/cdssweb/res/word/noadocs/44350e.doc">M44-350E (11/11) - Excess Property O/P and Adjustment (W/O Good Faith)</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/44350f.docx">M44-350F (11/11) - Excess Prop O/P (W/O Good Faith)</a></li> <li><a href="/cdssweb/res/word/noadocs/44350g.doc">M44-350G (11/11) - Excess Prop O/P Adjustment (With Good Faith)</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/44350h.docx">M44-350H (11/11) - Excess Prop O/P (With Good Faith)</a></li>  <li><a href="/cdssweb/res/word/noadocs/m44-350isar.doc">M44-350ISAR (9/13) - Notice Of Overpayment</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M44-350K.docx?ver=2024-06-07-142942-593">M44-350K (6/24) - EBT Replacement Denial</a></li> <li><a href="/Portals/9/FMUForms/Notice%20Of%20Action/M44-350L.docx?ver=2019-01-07-144029-133">M44-350L (12/18) - Notice Of Overpayment</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M44-350M.docx?ver=2023-12-28-164919-410">M44-350M (10/19) - Suspension Of Overpayment </a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M44-350N.docx?ver=2023-12-28-164919-643">M44-350N (10/19) - Suspend Overpayment Recovery</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M44-350O.docx?ver=2024-11-26-143852-217">M44-350O (11/24) - Notice of Suspected Fraud</a></li> <li><a href="/cdssweb/res/word/noadocs/44352a.doc">M44-352A (11/11) - Notice of O/P and Demand</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/44352c.docx">M44-352C (11/11) - Overpayment Recovery</a></li> <li><a href="/cdssweb/res/word/noadocs/M44-352d.docx">M44-352D (11/11) - Overpayment Recovery</a></li> <li><a href="/cdssweb/res/word/noadocs/44352g.doc">M44-352G (11/11) - Demand Overpayment</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M44-352H.docx?ver=2023-02-24-110944-643">M44-352H (2/23) - Overpayment Adjustment</a> </li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M44-352I.docx?ver=2024-11-26-145330-073">M44-352I (11/24) - Notice of Settled Overpayment</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M44-353.docx?ver=2024-11-26-144425-257">M44-353 (11/24) - Notice Of Overpayment Discharge</a></li>  <li><a href="/cdssweb/res/word/noadocs/44401a.doc">M44-401A (6/98) - Reduced Income Supplemental Payment, Approve</a></li> <li><a href="/cdssweb/res/word/noadocs/44401b.doc">M44-401B (6/98) - Reduced Income Supplemental Payment, Deny</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/81215a.docx">M81-215A (6/98) - Diversion Payment Provided, Deny</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/81215b.docx">M81-215B (6/98) - Diversion Services Provided, Deny</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/81215d.docx">M81-215D (6/98) - Diversion Repayment Stops, Change</a></li> <li><a href="/cdssweb/res/word/noadocs/M81-215e.docx">M81-215E (6/11) - Time Limit Diversion</a> - Use Until April 30, 2022</li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M81-215e.docx?ver=2021-05-04-165440-020">M81-215E (4/21) - Time Limit Diversion</a> - Use Starting May 1, 2022</li> <li><a href="/cdssweb/res/word/noadocs/M81-215f.docx">M81-215F (6/11) - Time Limit Diversion</a> - Use Until April 30, 2022</li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M81-215f.docx?ver=2021-05-04-165646-960">M81-215F (4/21) - Time Limit Diversion</a> - Use Starting May 1, 2022</li> <li><a href="/cdssweb/res/word/noadocs/82506.doc">M82-506 (6/98) - Failure to Cooperate, Change</a></li> <li><a href="/cdssweb/res/word/noadocs/82506a.doc">M82-506a (6/98) - Failure to Cooperate, Partial Approval</a></li> <li><a href="/cdssweb/res/word/noadocs/82510.doc">M82-510 (6/02) - Failure to Cooperate, Change</a></li> <li><a href="/cdssweb/res/word/noadocs/82510a.doc">M82-510A (6/98) - Cooperate, Change</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M82-812.doc?ver=2024-01-09-161207-487">M82-812 (4/04) - Family Reunification/Zero Grant </a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M82-812A.docx?ver=2024-06-28-161301-157">M82-812A (6/24) - Start of Cash Aid for Family Reunification Case</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M82-812B.docx?ver=2024-09-03-091350-710">M82-812B (6/24) - End of Cash Aid Following Family Reunification Discontinuance - Child Returned to Home</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M82-812C.docx?ver=2024-11-01-161324-433">M82-812C (11/24) - Family Reunification - End of Cash Aid </a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M82-820A.docx?ver=2021-11-19-152830-890">M82-820A (9/21) - No Eligible Person, Deny</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M82-820B.docx?ver=2024-10-22-092438-557">M82-820B (1/02) - Application for Mandatory, AU Members, Discontinue</a></li> <li><a href="/cdssweb/res/word/noadocs/82820c.doc">M82-820C (1/02) - Eligible Child Left Home, Discontinue</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M82-820D.docx?ver=2023-10-10-091124-340">M82-820D (9/23) - No Longer Eligible, Discontinue</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M82-832A.docx?ver=2024-10-22-092438-587">M82-832A (2/99) - Fleeing Felons, Change</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/82832b.docx">M82-832B (2/99) - Fleeing Felons, Partial Approval</a> </li> <li><a href="/cdssweb/res/word/noadocs/82832e.doc">M82-832E (4/15) - Eligible Person Leaving AU, Change</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/82832f.docx">M82-832F (4/15) - Eligible Person Leaving AU, Discontinue</a></li> <li><a href="/Portals/9/FMUForms/Notice%20Of%20Action/M82-832G.docx?ver=2018-08-02-133131-213">M82-832G (6/18) - Eligible/Mandatory/Optional Person Leaving AU</a></li> <li><a href="/Portals/9/FMUForms/Notice%20Of%20Action/M82-832H.docx">M82-832H (10/20) - Child Does Not Meet Requirements (SB 380)</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/82836a.docx">M82-836A (8/91) - Unborn not eligible for aid, Deny</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M89-110.docx?ver=2024-10-22-092438-837">M89-110 (1/98) - Exemptions to MAP Reductions, Change - Exempt</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M89-110A.docx?ver=2024-10-22-092438-573">M89-110A (1/98) - Exemptions to MAP Reductions, Change - Non-exempt</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/89110b.docx">M89-110B (1/98) - Exemptions to MAP Reductions, Deny</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M89-130.docx?ver=2024-10-22-092438-870">M89-130 (1/02) - Restricted Account, Discontinue</a></li> <li><a href="http://www.cdss.ca.gov/cdssweb/res/word/NoaDocs/89201.docx">M89-201 (11/96) - No Appropriate Living, Deny</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/M89-201A.docx?ver=2024-10-22-092438-870">M89-201A (11/99) - No Appropriate Living Arrangement or Allowable Exemption, Discontinue</a></li> <li><a href="/cdssweb/res/word/noadocs/mt42-101.2d.doc">MT42-101.2D (11/04) - Fry v. Saenz Lawsuit, Age Requirement, Change</a></li> <li><a href="/cdssweb/res/word/noadocs/mt42-101.2e.doc">MT42-101.2E (11/04) - Fry v. Saenz Lawsuit, Age Requirement, Discontinue</a></li> <li><a href="/cdssweb/res/word/noadocs/temp44-111a.doc">TEMP 44-111A (4/13) - Income Disregards Change</a></li> <li><a href="/cdssweb/res/word/noadocs/tempm40-107a.doc">TEMP M40-107A (9/11) - CalWORKs 48-Month Time Limit Time On Aid (Unticking Months Due To Temporary Exemptions)</a></li> <li><a href="/cdssweb/res/word/noadocs/tempm40-107e.doc">TEMP M40-107E (4/11) - Change CalWORKs Time Limit 48th Month On Aid</a></li> <li><a href="/cdssweb/res/word/noadocs/tempm40-107g.doc">TEMP M40-107G (4/11) - Discontinue CalWORKs Time Limit/Income Exceeds</a></li> <li><a href="/cdssweb/res/word/noadocs/tempm40-107h.doc">TEMP M40-107H (4/11) - Change CalWORKs Time Limt 40th Month On Aid-MFG Child</a></li> <li><a href="/cdssweb/res/word/noadocs/tempm40-107i.doc">TEMP M40-107I (4/11) - Discontinue CalWORKs Time Limit 48th Month On aid, No Eligible Child</a></li> <li><a href="/cdssweb/res/word/noadocs/tempm40-107j.doc">TEMP M40-107J (4/11) - Partial Approval CalWORKs Time Limit Timed-Out Adult</a> </li> <li><a href="/cdssweb/res/word/noadocs/tm44-314.doc">TM44-314 (8/16) - Basic Approval</a></li> <li><a href="/cdssweb/res/word/noadocs/tm44-315d.doc">TM44-315D (4/11) - 8 Percent Grant Reduction Change</a></li> <li><a href="/cdssweb/res/word/noadocs/tm44-315e.doc">TM44-315E (4/11) - Grant Reduction And Income Disregard Discontinue</a></li> <li><a href="/cdssweb/res/word/noadocs/tm44-315f.doc">TM44-315F (4/11) - Grant Reduction And Income</a></li> <li><a href="/cdssweb/res/word/noadocs/tm44-315g.doc">TM44-315G (12/13) - Law Change To MAP Levels</a></li> <li><a href="/cdssweb/res/word/noadocs/tm44-315h.doc">TM44-315H (9/14) - Law Change To MAP Levels</a></li> <li><a href="/cdssweb/res/word/noadocs/tm44-315i.doc">TM44-315I (8/16) - Law Change To MAP Levels</a></li> <li><a href="/Portals/9/FMUForms/Notice%20Of%20Action/TM44-315J.docx?ver=2019-07-25-111456-697"><u>TM44-315J (9/18) - Law Change To MAP Levels</u></a></li> <li><a href="/Portals/9/FMUForms/Notice%20Of%20Action/TM44-315K.docx?ver=2019-07-18-104651-850">TM44-315K (7/19) - Law Change To MAP Levels</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Q-T/TM44-315L.docx?ver=2021-08-20-155505-340">TM44-315L (7/21) - Law Change To MAP Levels</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/TM44-315M.docx?ver=2022-07-18-084431-497">TM44-315M (7/22) - Law Change To MAP Levels</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/TM44-315N.docx?ver=2023-08-15-073638-713">TM44-315N (7/23) - Law Change To MAP Levels</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/TM44-315O.docx?ver=2024-07-23-084056-873">TM44-315O (7/24) - Law Change to MAP Levels</a></li> <li><a href="/cdssweb/res/word/noadocs/tm82-832.doc">TM82-832 (12/14) - Basic Approval</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/WI10072A.docx?ver=2023-12-06-165328-080">WI 10072A (10/23) - EBT Replacement Approval</a></li> <li><a href="/Portals/9/Additional-Resources/Forms-and-Brochures/2020/Notice-of-Action/WI10072B.docx?ver=2023-12-06-165328-157">WI 10072B (10/23) - EBT Replacement Review</a></li> </ul> </div> </div></div> </div></div> </div> </div> </div>  <footer id="footer" class="global-footer"> <div style="padding-bottom: 10px; 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