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  • (Addressee) : State of California Health and Human Services Agency California Department of Social Services

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    Aimal Amin
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    This document from the California Department of Social Services is a denial form for a CalWORKs Welfare-to-Work Activities Review Request. It informs the recipient that their request for a review of their welfare-to-work activities has been denied and lists the regulations that apply to the denial. It provides contact information for the recipient to discuss the denial decision or request a state hearing to appeal.

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    TEMP2206CH

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    This document from the California Department of Social Services is a denial form for a CalWORKs Welfare-to-Work Activities Review Request. It informs the recipient that their request for a review of their welfare-to-work activities has been denied and lists the regulations that apply to the denial. It provides contact information for the recipient to discuss the denial decision or request a state hearing to appeal.

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    © All Rights Reserved
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    8 views1 page

    (Addressee) : State of California Health and Human Services Agency California Department of Social Services

    Uploaded by

    Aimal Amin
    This document from the California Department of Social Services is a denial form for a CalWORKs Welfare-to-Work Activities Review Request. It informs the recipient that their request for a review of their welfare-to-work activities has been denied and lists the regulations that apply to the denial. It provides contact information for the recipient to discuss the denial decision or request a state hearing to appeal.

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    © All Rights Reserved
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    STATE OF CALIFORNIA

    HEALTH AND HUMAN SERVICES AGENCY


    CALIFORNIA DEPARTMENT OF SOCIAL SERVICES

    (ADDRESSEE)

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    MPP 42-710,
    42-711, 42-716.

    TEMP 2206 (CH) (4/02) CalWORKs WELFARE-TO-WORK ACTIVITIES REVIEW REQUEST DENIAL FORM -REQUIRED – NO SUBSTITUTE PERMITTED

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