Form Wtw 5 - Welfare-To-Work Program Notice printable pdf download

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES

WELFARE-TO-WORK PROGRAM NOTICE

Tell the county if you need help reading or understanding this notice.

WHEN YOU MUST BE IN WELFARE-TO-WORK (CONTINUED)

WHAT WELFARE-TO-WORK MEANS TO YOU

A parent or caretaker relative of a child 12 weeks old or

•

The Welfare-to-Work program can teach, train and counsel you

under (depending on the county this may go up to 6

to help you find a job.

months). Ask your worker how young your child has to be

•

Some of the things Welfare-to-Work can do for you are:

for you to be exempt.

Help you look for a job.

Pregnant and a doctor states that you cannot work or

participate in Welfare-to-Work activities or the county

Help you with educational or vocational/on-the-job training

determines that par ticipation will not readily lead to

and teach you basic reading, math and English.

employment or that a training activity is not appropriate.

Help you get work experience.

Staying home to take care of someone in the household

who cannot take care of him/herself. (The person is ill,

Counseling for you or your family if needed.

disabled, etc.) and this keeps you from working or

•

There is a Welfare-to-Work 24-Month Time Clock (within the

participating in Welfare-to-Work.

48-month time limit).

•

If you are a pregnant or parenting teen in the Cal-Learn

•

You have many choices of activities you can participate in

program, or if you got a high school diploma or its equivalent

during the Welfare-to-Work 24-Month Time Clock period.

while in the Cal-Learn program, some exemptions above may

not apply to you. Contact your eligibility worker or Cal-Learn

•

At the end of the Welfare-to-Work 24-Month Time Clock period,

case manager.

you will have fewer choices of activities to participate in to keep

getting the same amount of cash aid.

•

If two parents are aided, and one parent does all required hours,

the second parent is excused from participating.

•

Welfare-to-Work will help you arrange and pay for necessary

•

If you believe that you should be exempt from participating, you

supportive services you need to participate in your activities.

This includes child care, transportation, and other costs such as

should ask your worker to give you a form (CW 2186A) to use to

special tools or clothing you need to get a job. You can get

make your request to be exempt from Welfare-to-Work. You will

advance payments if you ask for them, so you won’t have to use

be told by the county whether you can be exempt from Welfare-

your cash aid to pay for necessary supportive services.

to-Work or are required to participate. Even if you don’t have to

be in Welfare-to-Work, you can ask to participate and you will be

•

Welfare-to-Work will tell you about the available kinds of child

told if you can.

care and where to find child care.

•

If you are not exempt from Welfare-to-Work, you may be

required to go to Welfare-to-Work. If you are required to go, you

WHEN YOU MUST BE IN WELFARE-TO-WORK

will get a notice that tells you when your first appointment will

be.

•

You must be in Welfare-to-Work if you get cash aid under the

Califor nia Work Oppor tunity and Responsibility to Kids

(CalWORKs) program and you are not excused (exempt) from

participating.

IF YOU DO NOT DO WHAT WELFARE-TO-WORK REQUIRES

•

You don't have to be in Welfare-to-Work if you are exempt. You

•

If you are required to be in Welfare-to-Work:

are exempt if you are:

You will have a chance to say why you did not do what you

Under 16 years old or 60 years old or older.

were required to do.

16, 17 or 18 years old and in high school or adult school full

If you do not have a good reason, and you will not do what

time unless you go to school as part of your Welfare-to-

Welfare-to-Work requires to fix the problem, your cash aid

Work plan.

will be lowered.

The nonparent relative caretaker of a child who is a

•

If you are not required to be in Welfare-to-Work, but you

dependent or ward of the court, or a child at risk of being

volunteer to do Welfare-to-Work activities:

placed in foster care.

You will have a chance to say why you did not do what was

Physically or mentally unable to work or participate in a

asked.

Welfare-to-Work activity on a regular basis for at least 30

calendar days.

If you volunteer to do Welfare-to-Work activities but do not

participate, without good cause, and you are not willing to

A parent or caretaker of one child from birth to 23 months,

do what Welfare-to-Work requires to fix the problem, your

inclusive. This exemption is available only once.

cash aid will not be lowered, but you may not be allowed

back as a volunteer in Welfare-to-Work right away.

A parent or caretaker relative of a child 6 months old or

under (depending on the county this may go up to 12

months). This exemption is available only once.

When you get a job and go off aid, the county may be able to continue to pay for necessary supportive services for up to the first 12 months

after you have started a job if you need the services to keep your job and you cannot get the necessary supportive services costs from

somewhere else. You may also be able to get up to two years of child care services after leaving aid. You may also be able to get transitional

Medi-Cal for 12 months.

You have the right to ask at any time for services like child care, transportation, or other services provided by Welfare-to-Work. You may ask

your worker by phone or in person, or you may ask in writing.

You have the right to ask for a state hearing if you disagree with any of the decisions made by the county about participating in Welfare-to-

Work.

WTW 5 (9/13) REQUIRED-SUBSTITUTES PERMITTED

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Form Wtw 5 - Welfare-To-Work Program Notice

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